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Bremelanotide can cause significant nausea (reported in up to 40% of users in clinical trials), increased blood pressure, and flushing

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Jay Campbell (52:48) it's my personal opinion that the leaner and more efficient you are, the less you notice NAD improving your performance, heavy metabolically dysregulated people dramatically notice NAD and the reason that is it's cause they don't have any, they have no NAD production because their body is like, you know, metabolically dysregulated

J Neurochem 91(5):10751081

According to the product label there is 250 mcg of Vitamin B-12 (cyanocobalamin) per 1 ml