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Description
Its deficiency is seen in people with poor nutrition, infection, cancer, surgery, alcohol, pernicious anemia, medications (PPIs or other acid-suppressing drugs), exposure to nitrous oxide (during surgery or recreational use), stomach/intestinal problems such as intestinal dysbiosis, leaky gut or gut inflammation, atrophic gastritis or hypochlorhydria (low stomach acid) and/or nerve damage

That said, your provider should still establish a baseline with fasting glucose and HbA1c before starting, and monitor periodically throughout treatment
Renal Impairment: The use of Calcium Chloride Injection in patients with renal impairment may increase the risk of a higher calcium-phosphorus product

[8] No significant drug-drug interactions with NAD+ Injection have been identified in the medical literature to date

(NICE Guideline, No
