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In experimental settings, NAD+ is studied for its potential links to improved mitochondrial function, healthier aging, and enhanced recovery at the cellular level

Patients with a history of liver disease, pancreatitis, or alcohol use disorder should discuss any alcohol consumption with their prescribing physician before proceeding, as tirzepatide and alcohol may pose additional liver or pancreatic stress in these populations

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Other reasons to reach out include persistent gastrointestinal symptoms that interfere with daily activities or nutrition, unexplained fatigue lasting beyond the initial adjustment period, changes in vision (especially if you have diabetic retinopathy), or any new symptoms that worry you

More specifically, they were originally designed for people with non-insulin dependent diabetes

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