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Capsule and tablet formulations with enteric coatings or liposomal delivery do not require refrigeration because the NAD+ or precursor remains in a stable, dry matrix until dissolution in the gastrointestinal tract.

For example, it's often used to dilute or dissolve medications such as vaccines, insulin, and HCG (Human Chorionic Gonadotropin)

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Several human clinical trials and animal studies also documented ipamorelins cardioprotective effects, protecting people from the onset of possible heart problems

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Annals of hepatology 2 , 6975 (2003)