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Recommendation (Evidence Strength: Grade C) If Hunner lesions are found, then the Panel recommends that fulguration (with laser, cautery) and/or injection of triamcinolone be undertaken

The right NAD injection dose for you may differ, and your provider will set a specific NAD+ injection protocol including how often to inject

doi: 10.1200/JCO.2017.73.7379 133 WatersAMJohnstonJMReddyATFiveashJMadan-SwainAKachurakKet al

This precaution may be overly conservative, but erring toward caution with minerals makes sense

The specific reasons identified include intensive insulin therapy, decreased renal function, severe liver disease, alcohol ingestion, defective counter regulatory hormone release, missing meals/fasting, and gastroparesis