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In those patients, addressing the underlying metabolic dysfunction first, through dietary intervention, GLP-1 therapy if indicated, or NAD+ support for cellular energy metabolism, is the clinical priority
Because levels are often quite low before a deficiency is recognized, it can take some time for serum concentrations to even out and symptoms to subside
The medication works best when combined with lifestyle adjustments such as exercise and a healthy diet
You are emotionally numb
You have to believe doctors are no different from you, they have just learnt different things, read different books and passed different exams and that is all
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