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Potential Side Effects Reported side effects may include: Injection site pain, redness, or bruising Nausea or gastrointestinal discomfort Headache Dizziness Fishy body odor (associated with choline metabolism in some individuals) Allergic reaction seek immediate medical attention if you experience hives, swelling, difficulty breathing, or chest tightness Contact your prescribing provider promptly if you experience unexpected or concerning symptoms

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Beyond its redox coenzyme activity, NAD + serves as a substrate for sirtuins, poly(ADP-ribose) polymerases (PARPs), and other signaling enzymes that consume NAD + during the processes of DNA repair, deacetylation, and cellular stress response

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