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If side effects are problematic, we adjust extending the time at a dose, adding supportive measures, or exploring a medication switch

The nad+ benefits most reliably reproduced in clinical practice are: reduced fatigue, improved exercise tolerance, and sharper mental clarity within the first loading course

Caution is Required During Active Chemotherapy and Immunotherapy While the benefits in the survivorship setting are promising, Iyengar highlighted a note of caution for patients currently undergoing intensive active treatment