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NAD+ is used to support the oxidation side of the deficit Weeks 58 Steady progress Fat loss stabilizes at 12 lb/week Appetite Becomes mechanical rather than emotional Energy Often steadier when NAD+ support, protein, hydration, and sleep are all in place Challenge May need reminders to eat enough protein Weeks 912 Consolidation Scale progress may slow

Patients with pre-existing cardiovascular conditions should be monitored closely, and any significant increase in heart rate or new cardiac symptoms should prompt urgent medical review

This is particularly a concern where ozempic is being used inappropriately to maintain a very low body weight

7 Low blood levels of GSH are observed in patients with both open-angle glaucoma and normal tension glaucoma