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J Neurol Sci 107(1):1928

How much bacteriostatic water should I add to NAD+

Over a single dose, the loss is negligible

Diphenhydramine (25-50 mg every 6 hours as needed) is an alternative but causes significant drowsiness and has anticholinergic effects that may be problematic, especially in older adults

However, its important to note that many other more common conditions, including taking certain medications, are more likely to be the culprit: for example, a lack of dietary intake, taking medications for acid reflux or diabetes or an autoimmune condition, she adds