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It is not a treatment plan, not a recommendation to use these compounds, and not a substitute for evaluation by a qualified clinician

When administered intraperitoneally, NAC is directly taken up by the hepatic portal system and undergoes extensive first-pass metabolism through the liver before reaching main circulation and entering the brain [14]

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Because no studies have evaluated potential risks, such as effects on the fetus or pregnancy outcomes, clinicians advise against NAD+ therapy during pregnancy out of an abundance of caution