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Some evidence suggests that increasing NAD may lower the risk for obesity and metabolic syndrome and the conditions they can cause, including heart disease, type 2 diabetes, and stroke, but the science is mixed with some research showing no improvements related to insulin resistance

Two commenters stated that workforce distribution has created variable staffing challenges across the country and believes that a backlog of referrals may exist in some states that typically results in therapy being scheduled months in advancesometimes having to schedule new patients over 90 days after they received the referral

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