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Mid-Tier Treatments: NAD+ nasal spray ($125/month), sermorelin injections ($99/month), and compounded semaglutide ($139/month) sit in the moderate range

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Given that the eradication rate is so low with the traditional therapy of clarithromycin triple, guidelines recommend choosing this regimen only for patients without prior macrolide exposure and in areas where resistance of clarithromycin is less than 15%

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The GSSG is then recycled back to GSH by glutathione reductase (GR) using NADPH that is then converted to NADP+