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Meanwhile, Mn 2+ catalyzed H 2 O 2 to produce toxic OH through Fenton-like reactions under the assistance of HCO 3 2- and high temperatures, which was engineered by an MS-BSA-triggered photothermal effect, potentiating a GSH depletion-prompted robust anticancer effect

PMID 23084823.

Low levels can be measured in a blood test

Adding an early dose accelerates that accumulation beyond the planned escalation rate

A common protocol, for example, is to begin with about 20 mg of NAD+ (corresponding to a small volume from the vial, typically around 0.1 mL depending on concentration) administered subcutaneously and gradually increase the dose over subsequent injections up to around 100 mg per injection