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Infection sites usually begin as sore red spots, warm to the touch

When administering, carefully listen to ensure the pen clicked twice (once after you clicked the button and the second time after around 10 seconds)

Active malignancy is a contraindication because NAD+ supports cellular proliferation

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For doses requiring fractional units (e.g., 7.5 units), round to the nearest whole unit or use a higher reconstitution volume for easier measurement

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