Epithalon represents a distinct longevity-research angle from NAD+: where NAD+ concerns cellular energy and sirtuin signaling, Epithalon concerns chromosomal aging and the telomere-maintenance machinery
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NAD+ infusions run longer at 2 to 4 hours and require a slower drip rate to avoid nausea
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Nausea, vomiting, and diarrhea are particularly common when starting treatment or during dose increases, but these symptoms typically improve over time for most patients
The presence of risk factors should not automatically preclude GLP-1 agonist use but should inform monitoring strategies and patient education