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NAD+ precursor supplementation using NMN, NR, or NAD+ directly increases the input to the NAD+ salvage pathway
As a result, taste buds may be damaged, and salivary glands may become less effective, leading to dry mouth symptoms and a distorted or metallic taste
1 piece of chicken (4-6 oz, no skin, no frying) 1 piece of turkey (4-6 oz, no skin, no frying) 1 piece of fish (4-6 oz, no skin, no frying) (you can have 1 slice of cheese if desired) 1 serving of veggies Beverage Choices
hospitalization required Maintenance of Remission: Immunomodulators (azathioprine, 6-MP, methotrexate) for steroid-dependent or frequently-relapsing disease Biologic monotherapy or combination therapy (biologic + immunomodulator) for moderate-to-severe disease Step-up or top-down approach based on disease severity, patient risk factors, and prior therapy Biologic Therapy Targets: TNF-: Infliximab (IV), adalimumab (SC), certolizumab pegol (SC) IL-12/23: Ustekinumab (IV induction, SC maintenance) Integrin: Vedolizumab (IV) IL-23: Risankizumab (IV induction, SC maintenance) JAK inhibition: Upadacitinib (oral) Surgical Management Surgery is indicated in approximately 7080% of patients with Crohns disease over their lifetime, per StatPearls
For oral cobalamin supplementation: Protocol: Daily administration for a total of 12 weeks and re-check the serum cobalamin concentration 4 weeks after stopping supplementation
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