doi:10.1001/jama.2021.4788
However, once a multi-dose pen is first used, the in-use period (discussed in the next section) takes precedence over the printed expiration date
This product was lab tested for the following toxic substances: Lead, Arsenic, Cadmium, Mercury
When present, side effects are typically mild and transient, potentially including slight drowsiness if administered too early (easily resolved by timing adjustment), mild headaches during initial adaptation in some individuals (usually resolving within days), temporary vivid dreams as sleep architecture normalizes, or rare reports of mild dizziness upon waking in sensitive individuals
In practice, providers may advise against NAD+ injections in patients with serious underlying medical conditions as a precaution
The actual chemistry of reconstitution is not affected by altitude