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Unopened lyophilized powder is more forgiving and can tolerate brief room-temperature periods, but a reconstituted vial needs consistent refrigeration and should be used within 28 days, the window supported by bacteriostatic water's antimicrobial preservative

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Source 1, 5: Does Coenzyme Q10 Supplementation Improve Human Oocyte Quality?, 2021 Source 2: Increasing ovarian NAD+ levels improve mitochondrial functions and reverse ovarian aging, 2020