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Certain groups should avoid or use NAD+ injections cautiously: Pregnant and Breastfeeding Women: Limited research exists on the safety of NAD+ therapy during pregnancy and lactation

(7) Ganea D, Hooper KM, Kong W

These body composition changes occur through enhancement of mitochondrial function, promotion of fatty acid oxidation over glucose utilization, and reduction of inflammatory processes that accelerate muscle loss

That means the Bridge may help with monthly access, but it does not replace a full prescription review

L-carnitine transports fatty acids into mitochondria, supporting cellular energy production to help combat chronic fatigue

Switching to a verified quality source rules out this variable