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You will also achieve better results if you use NAD consistently

Walter Kuehl states, "The day of immunotherapy has arrived." With a wide variety of vaccines, monoclonal antibodies, T-cell therapies and other immunological approaches now available, the MSKCC Myeloma Service will determine how best to incorporate new immunotherapies with existing treatments and at what stage they should be incorporated

PMID 28137297

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What this implies: if the vial remains sealed, in a cool, dry, dark place (ideally under refrigeration or freezing, with minimal humidity), you can reasonably expect 2-3 years of viability in the lyophilized state

We need enough load to stimulate muscle and bone, without creating unnecessary injury