Both NAD and glutathione forms are used as cofactors and posttranslational modifications in proteins involved in biosynthesis reactions
Prevention strategies include consuming 2540g fast-digesting carbohydrates (dextrose, white rice) within 30 minutes of injection and starting at the lower end of the dose range (40mcg) to assess individual glucose tolerance
Less common side effects include reflux, dizziness, and injection site reactions , while serious risks (though rare) include pancreatitis, gallbladder issues, and severe allergic reactions
Contact the prescribing clinician, who can evaluate the degree of abnormality, symptoms, previous results, other medications, and whether repeat testing or additional evaluation is needed