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Symptoms can develop quickly and include: feeling faint or lightheaded difficulty breathing or wheezing rapid heartbeat confusion anxiety clammy skin collapsing or losing consciousness hives swelling stomach pain, nausea, or vomiting If you or someone nearby develops these symptoms, you should: Check to see whether they have an epinephrine pen

By midlife, NAD+ can drop by 50%, exacerbated by inflammation and lifestyle.[14] Factors like poor diet, sedentary behavior, or chronic stress further deplete NAD+ by activating consuming enzymes, creating a vicious cycle

Some people might also notice mild diarrhea or a feeling of swelling in their body, but these are typically temporary

Once reconstituted, keep it refrigerated at 28C and use within the working shelf life described on the CoA