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[4] In case of accidental large overdose (e.g., someone receives far more frequent injections than prescribed), monitoring for symptoms like flushing, tingling in extremities, or liver enzyme elevations would be prudent

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taking NAD+ by mouth is not effective since NAD+ is not absorbed intact

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If they teach you how to give yourself the injections, your doctor would call the prescription into your pharmacy of choice for you to pick up