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Sedation or anesthesia is not included in CPT 62321 and may be billed separately if medically necessary and properly documented, depending on payer guidelines

Stacking & Combinations Because its mechanism is NAD+ preservation, the logical research pairing is with the NAD+ pathway : in some research framings, an NNMT inhibitor like 5-Amino-1MQ is discussed alongside NAD+ precursors, on the reasoning that inhibiting the enzyme that drains NAD+ and supplying more NAD+ substrate address the same bottleneck from two directions

In short: You should be extremely cautious

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Clinical Update 10/27/2020 Protein During Dialysis