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A biopsy should be performed if any doubt exists about the diagnosis

For both supplements: Allergies to NAD+ or L-GLutathione Specific contraindications for NAD+: Children / anyone under 18 years old Those with active or historic cancer People who are pregnant or breastfeeding Those with lyme disease Those who have recently had a skin graft Those with atrial fibrillation Anyone who is classed as immunosuppressed Those who have had an organ transplant Those with a history of haemophilus influenza bacteria Specific contraindications for L-Glutathione+: Those with allergies to Glutathione Those who are pregnant or breastfeeding Those using blood thinners or anti-coagulants Those using chemotherapy agents (Cisplatin, Doxorubicin, etc) Those with asthma Those with unknown health issues