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If symptoms persist despite regular oral supplementation, absorption may be limited

Nothing, even rx meds didnt work, especially the first 3-4 months

Understanding that complete healing takes months helps set realistic expectations

The gap between theoretical synergy and actual measurable outcomes comes down to three variables most protocols ignore: receptor saturation windows, NAD+ depletion kinetics, and the 46 hour offset that allows both compounds to exert their effects without interference

We further proposed that the ASCVD risk assessment must be furnished by the practitioner on the same date they furnish an E/M visit, as the ASCVD risk assessment will be reasonable and necessary when used to inform the patient's diagnosis, and treatment plan established during the visit