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Some countries treat it as an unregulated research compound

Subcutaneous or intramuscular delivery is the only at-home route that produces the systemic NAD+ levels associated with published outcomes

Extensive scientific research has demonstrated its ability to promote tissue regeneration, accelerate wound healing, reduce inflammation and promote gut health

That is a 20% dose reduction

The practical rule: Refrigerate at 2 to 8 degrees C, minimize air exposure by keeping caps tightly sealed, and avoid products stored or shipped at room temperature for extended periods