Limited anticipatory compounding may occur before a prescription is received when it is based on an established history of receiving valid prescriptions for that compounded product
The appropriate response to that uncertainty is not to abandon the compound but to use it within a structured clinical framework: defined goals, evidence-appropriate dosing, quality-assured sources, systematic monitoring, and ongoing reassessment as the science matures
Symptoms include persistent fatigue and low energy, brain fog and poor concentration, low mood, anxiety or depression, memory problems, tingling or numbness in hands and feet, poor sleep quality, weakened immune function and hair thinning and loss
If youve optimized all the basics and are still interested in DSIP, Dr
These precursors have better oral absorption characteristics due to their smaller size but depend on enzymatic conversion to produce the active NAD+ molecule and the efficiency of these conversion enzymes varies between tissues, between individuals, and with age
However, walking into that conversation prepared with good information makes a world of difference