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Most patients respond to the combination of oral tranexamic acid, topical hydroquinone and either Q switched Nd:Yag or clear and brilliant laser treatments within 3-4 weeks

Patients and providers have reported anecdotal improvements in energy levels, reduced fatigue, and enhanced mental clarity or focus following NAD+ therapy

However, co-supplementation of B 12 and B 9 was indistinguishable from B 12 alone (Fig

Furthermore, because of the possibility of adverse effects on a nursing infant, this therapy is generally avoided in women who are breastfeeding

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