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In general Oral supplements must be digested and absorbed by the body, and to survive through the the process

This conclusion was also reached in another study (5)

The effects of an NAD+ infusion usually last between 314 days, though some individuals report benefits lasting for weeks or even longer, depending on factors like dosage, individual metabolism, baseline NAD+ levels, and overall health

This is a good sign that your treatment is working, even if some symptoms are still improving