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Contraindications Retatrutide: Personal or family history of medullary thyroid carcinoma or MEN2 syndrome Active pancreatitis Pregnancy or breastfeeding Severe GI motility disorders Pre-existing atrial fibrillation, structural heart disease, or sustained tachycardia without medical oversight NAD+ supplementation: Active cancer (NAD+ supports cellular metabolism broadlyit is not selective for healthy cells) Severe hepatic or renal impairment Concurrent chemotherapy (some regimens work by depleting NAD+

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