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Dec 2016;62(6):387-395

The discontinuation was driven by (Bergam, 2025) (Figure 2): the availability of newer, safer & more accurate alternative testing for MG including electrophysiological & antibody tests, as well as safety concerns (bradycardia & respiratory complications) limited diagnostic reliability (with both false-positive and false-negative results) The decision to remove edrophonium as an available (alternative) diagnostic test has been challenged (Keritam et al, 2026)

But as we get older, NAD+ levels naturally decline leading to fatigue, brain fog, and slower recovery

However, those with oxidative stress from pollution, smoking, or chronic illness may experience a decline in detox efficiency

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