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Berberine is contraindicated during pregnancy and breastfeeding due to its ability to cross the placenta and displace bilirubin from albumin, posing a risk of kernicterus in newborns, and because it is excreted in breast milk [125]

Your doctor can look at your family history and other relevant medical information

A simple NAD blood test shows your intracellular NAD+ level before you start and again after treatment, so you know whether anything actually changed

For the broader context on what supervised peptide therapy looks like at our clinic, see our complete medical clinic guide to what peptide therapy in Miami actually offers that a med spa cannot deliver