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Access depends on physician involvement and pharmacy sourcing

Journal of Clinical Endocrinology and Metabolism 2021

The NAD + precursor NR is also metabolized through salvage, but is first phosphorylated by nicotinamide riboside kinase 1 or 2 (NRK1/2) into NMN 27

Rassen JA, Shelat AA, Myers J, Glynn RJ, Rothman KJ, Schneeweiss S

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Failing to distinguish between hydration (96360/96361) and therapeutic infusion