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All routine hematological and biochemical investigations were found to be normal

Long-chain 3-hydroxyacyl-coenzyme A dehydrogenase (LCHAD) deficiency is a genetic syndrome with many similarities to MCAD deficency

Based on patient needs, NAD+ may be prescribed for intravenous (IV), intramuscular (IM), or subcutaneous (SubQ) administration

SIDE EFFECTS Short term side effects after administration include: Facial flushing Reduced appetite, nausea and vomiting In males, spontaneous erections 1-5 hours after administration (priapism), associated with yawning and stretching complex Long term, there is concern that melanotan II may increase the risk of: Melanoma a potentially serious form of skin cancer Deepening of the color of moles, new moles and atypical melanocytic naevi Melanonychia brown to black discoloration of one or more nails Suggested usage: daily for 1 - 2 weeks then one to two times weekly for maintenance