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Others use NAD+ periodically during times of high stress, demanding work schedules, or mental fatigue

Individual timelines vary, but symptoms typically reduce with continued clinician-guided treatment

A reasonable transition approach is to move from strict keto (under 25 grams net carbs) to a low-carbohydrate diet (50 to 100 grams net carbs) that is less restrictive but still meaningfully below the carbohydrate intake that drove the original weight gain

47 However, the number of events in these trials was relatively small compared with other trials in patients with HF