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If you have pins and needles, numbness, balance issues, or other neurological changes, you should seek medical assessment promptly

Journal of Endocrinology and Metabolism , 3(1-2), 7-15

Then there are the cardiovascular side effects: dizziness, rapid heartbeat

It is retained far longer, allowing a two to three month maintenance interval instead of frequent repeat dosing.

Blocks the NNMT enzyme that converts nicotinamide to N-methylnicotinamide, preserving nicotinamide for NAD+ synthesis and cellular energy pathways

Individual results vary significantly