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This would result in relatively higher estrogen levels in proportion to progesterone

The injection of NAD+ may cause adverse reactions and side effects, such as headache, shortness of breath, constipation, increased plasma bilirubin, and decreased levels of gamma glutamyl transferase, lactate dehydrogenase, and aspartate aminotransferase (10,18)

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My husband at the time of this incident was in Afghanistan at the time