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Adding NAD supplements should only be considered if you have identified mitochondrial dysfunction, persistent fatigue, or genetic evidence supporting NAD pathway supportnot as a routine enhancement strategy

This is why BUDs vary so dramatically between pharmacies

Stopping treatment often leads to weight regain, so the decision depends on your goals and health plan with your doctor

But advances in clinical evidence have reshaped the diagnostic landscape

Generally adults with BMI 30, or 27 with weightrelated conditions (like prediabetes, hypertension, or dyslipidemia), who have tried lifestyle changes and are ready for a structured medical program