Chronic use of NAD + boosters is not without risks, as previously shown for cardiovascular events in in a large retrospective epidemiological study 15,30
Available at: fda.gov US Food and Drug Administration
Patients who discontinued treatment tended to regain weight, which underscores why affordability over months and years matters so much
The Sid Medicos website states the key ingredients are bromelain, riboflavin and lecithin, which are injected into an area of stubborn fat on the face or body

This information will help your GP or diabetes specialist assess the situation more effectively Review your overall health : Consider whether other factors might be contributing, such as stress, relationship issues, sleep quality, or changes in other medications Ensure adequate nutrition : If you've experienced significant weight loss, work with a dietitian to ensure you're meeting nutritional needs, particularly protein, healthy fats, and micronutrients essential for hormone production Monitor for other symptoms : Note whether you're experiencing fatigue, mood changes, or other side effects that might indirectly affect sexual function When to contact your GP or diabetes specialist: If libido changes are persistent, distressing, or affecting your quality of life If erectile dysfunction persists for more than 3 months, is sudden or severe, or occurs with exertional chest pain or other cardiovascular symptoms If you experience other concerning symptoms alongside sexual changes If you're considering stopping Ozempic due to these effects Red flag symptoms requiring prompt medical attention include erectile dysfunction with chest pain or cardiovascular symptoms, as erectile dysfunction can be a marker of vascular disease
