The considerations are practical rather than a hard contraindication: side-effect overlap and absorption timing
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The company describes these programs as providing "cellular energy support for mental clarity, healthy aging, and sustained vitality." According to published pricing, NAD+ injections (1000mg, 8 injections per month) start at $249 per month, and NAD+ nasal spray (500mg/15mL, 30-day supply) starts at $269 per month