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Regular follow-up appointments are necessary to monitor glycemic control (hemoglobin A1c typically every 3 months initially), weight changes, cardiovascular parameters, and renal function
A 2015 review in Cell Metabolism demonstrating that NAD+ precursor supplementation reverses mitochondrial dysfunction in aged muscle and restores metabolic function reinforced the mechanistic rationale for NAD+ as a longevity therapy
If the patient is dehydrated from hypovolemia, then fluid resuscitation may be indicated along with an antiemetic if nausea/vomiting are present
Smriti Choudhary, M.D., and Dr
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