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Without the NAD coenzyme, your body may not have the elements it needs for optimal cell function

treatment focuses on supportive careIV fluids, anti-nausea medication (ondansetron or metoclopramide), and electrolyte replacement

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But the nature of these prescription medicationswhich have to be stored within a specific temperature range and self-administered via single-use injection pen on a weekly basispresents some challenges for travelers

The dose may be further escalated to 1 mg weekly and, if additional glycemic control is needed, to a maximum maintenance dose of 2 mg weekly