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Some patients cycle therapy throughout the year

Evidence from a Cochrane review suggests that high-dose oral therapy can be as effective as intramuscular treatment for many individuals

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To ensure safe and effective treatment, patients will often require periodic blood tests to monitor their vitamin D and calcium levels

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At the same time, more of your existing NAD+ gets consumed by enzymes like CD38 and PARPs, which are activated by things like inflammation, oxidative stress, and DNA damage