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Given this enthusiasm, what does the evidence actually show for mental health applications

General Rule: HSA Eligibility The general rule is that an individual must meet two requirements to be HSA-eligible (i.e., to be eligible to make or receive HSA contributions): Be covered by an HDHP

High NNMT activity has also been linked to: Poor mitochondrial function Increased oxidative stress Accelerated fat storage Inhibiting this enzyme helps reverse those metabolic imbalances

Even when enforcement seems inconsistent: Professional discipline is still possible Licenses can still be challenged Liability does not disappear because something is popular This is why many clinics: Avoid written prescriptions Avoid dispensing directly Use vague educational language Distance themselves from sourcing Those behaviors are signals of regulatory uncertainty not proof of legality