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By the same token, because there is not an FDA-approved version out there, theres no competition risk

It is also indicated for the supportive treatment of neuritis & non-inflammatory diseases of the nerves, e.g.- Vitamin B1 converts carbohydrates, fatty acids, and amino acids into energy, promotes healthy nerves, improves mood, and strengthens the heart

Choline: Helps maintain a healthy weight and cholesterol level balance

This is not a stimulant effect

This indicates that there is too much water that has been allowed to travel into the red blood cell in an effort to stabilize the concentration gradient

however, any prior adverse reaction to niacinamide/NAD+ products would warrant against use of NAD+ Injection