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The metabolism and elimination of NAD+ (and its by-products) could be altered in advanced hepatic or renal dysfunction, and high-dose NAD+ might theoretically affect cardiovascular dynamics, so practitioners generally avoid or closely supervise NAD+ use in such settings

Allow vials to reach room temperature before opening Clean vial tops with alcohol swabs Draw 2mL bacteriostatic water with a sterile syringe Inject slowly down the vial wall - avoid spraying directly onto powder Gently swirl or roll until fully dissolved - DO NOT SHAKE Label with reconstitution date Refrigerate immediately at 2-8C (36-46F) Storage After Reconstitution Use within 28-30 days Keep refrigerated at all times Never freeze reconstituted solution Unreconstituted vials can be stored frozen for 1-2 years Dosing Protocol Standard Protocol Dosing by Body Weight Advanced Protocol (for experienced users) Some users split dosing for enhanced GH pulsatility: Morning (fasted or post-workout): 100-150 mcg each Before bed: 100-150 mcg each Timing is Critical Best Time to Inject: Before Bed The ideal injection time is 1-1.5 hours after your last meal, right before bed

Eventually this lead me to gain 10lbs, which isnt a lot but I didnt feel as good about my body

Freeze/thaw cycles degrade peptides, so aliquot the reconstituted solution if you plan to run assays over several weeks

What purity signals should I check for DSIP