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Furthermore, in a study of NA supplementation with a dose of 207.5 mg NA per day for 32 days to older adults with impaired physical function, no improvements in NAD + or mitochondrial functions in skeletal muscle were observed 321

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Wrist Circles: Slowly rotate wrist in circles, 10 each direction, 3 times daily Forearm Stretch: Extend arm, gently pull fingers back, hold 30 seconds Ball Squeeze (light): Gentle squeezes with soft stress ball, 10 reps, 2 times daily Supination/Pronation: Rotate forearm palm-up to palm-down, 15 reps Progressive Loading Phase (Weeks 3-6) As pain decreases and function improves, gradually introduce more challenging exercises