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We strongly recommend it, but no - you do not have to have one if you choose not to, though we do explain why this is storngly recommended

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Interestingly, a recent study showed that oral supplementation of NR altered the intestinal microbial composition in rats and mice but not humans 63 , highlighting the need for further studies on this matter to assess the impact of NAD + metabolism modulation by the microbiome on health outcomes

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Having your medications in their original packaging and with a prescription label can help facilitate the process