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Never go larger than 27G for subcutaneous injection

For lower maintenance doses, NAD+ is frequently given as a subcutaneous injection, meaning a small volume is injected just under the skin (for example, in the abdomen, thigh, or back of the arm)

That infrastructure exists because the community learned through documented failures, wasted research material, and contamination events that trust without verification is not a quality system

That works out to 0.04 mg per unit on a 1 ml (U-100) insulin syringe

Patients receiving injections more frequently than clinically indicatedsometimes through private clinics offering 'wellness' treatmentsmay accumulate excessive levels without medical justification