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Storage Lyophilizate (dry powder before reconstitution) 3 years at 20 C (freezer) 2 years at 2 to 8 C (refrigerator) Only short-term (up to 7 days) at room temperature, NAD+ is less stable than peptides Protect from light and moisture (extremely hygroscopic) After reconstitution (NAD+ in solution) Only 7 to 14 days at 2 to 8 C , NAD+ has a shorter shelf life in solution than peptides A NAD+ solution is especially sensitive to light, heat, and pH changes For long-term storage after reconstitution: freeze in aliquots at 20 C , use within 3 months Practical storage rules Let the vial warm to room temperature (15 to 20 min) before opening

Carnitine plays a critical role in the transport of certain fatty acids into the mitochondria where they are converted to energy

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There is also evidence that a positive anti-SS-A serology ay predict worse outcomes and therefore may prompt more aggressive treatment [108]