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doi: 10.1007/s00210-014-1008-y 118 UnaySBilginMD

Common side effects associated with NAD injections, particularly when administered intravenously, include: Injection site reactions : Pain, redness, or swelling at intramuscular injection sites Gastrointestinal symptoms : Nausea, cramping, or diarrhoea, especially with rapid IV infusion Flushing and warmth : Often described during or immediately after intravenous administration Chest tightness or discomfort : Typically mild and transient, but may be concerning for some patients Headache and dizziness : Reported occasionally, particularly with higher doses Infusion-specific risks include thrombophlebitis, extravasation, infection, air embolism, vasovagal reactions, and changes in blood pressure or heart rate

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Patients and their families will have to weigh that benefit against the downsides, including regular IV infusions and potentially dangerous side effects like brain swelling