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A 4: Yes

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S., Sam-Agudu, N., Opoka, R

While the theoretical synergy of boosting cellular health (NAD+) while simultaneously optimizing metabolic fat regulation (AOD9604) is appealing, robust scientific evidence for their combined use is still in its nascent stages

[5] Patients should be aware of important safety considerations, including the risk of pancreatitis (report severe persistent abdominal pain), gallbladder disease, potential worsening of diabetic retinopathy particularly with rapid HbA1c reduction, and increased hypoglycaemia risk when used with insulin or sulfonylureas