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NAD+ plays a significant role in activating certain enzymes to repair DNA damage that occurs because of stress, aging, and environmental factors

However, some individuals may experience: Injection site reactions such as mild redness, itching, or swelling Water retention or mild fluid buildup, particularly in the early weeks Joint discomfort or stiffness, which often resolves as the body adjusts Tingling or numbness in the hands or feet (less common) Elevated blood glucose levels in individuals predisposed to insulin resistance It is worth noting that tesamorelin should not be used by individuals with active cancer, those who are pregnant, or patients with hypersensitivity to its components

Sources: Pernicious Anemia: Definition, Symptoms, Causes & Treatment | Cleveland Clinic Pernicious Anemia - StatPearls | NCBI Bookshelf

Aleo et al

That review protects the patient and improves the odds that the plan works over time

Early detection makes treatment much more effective