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This can show up as symptoms such as delayed growth and development (failure to thrive), regression in neuromotor skills (such as losing the ability to roll over or grasp objects), failure to maintain eye contact (even in an infant who previous could do so), general muscle weakness, lethargy, excessive sleepiness, feeding difficulties, and even brain shrinkage

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For this reason, patients are advised to inform their healthcare provider of all medications, supplements, or herbs they are taking before starting NAD+ injections, even though no incompatibilities are documented thus far

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