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This reaction has two metabolic consequences: it consumes SAM (the body's universal methyl donor) and it diverts nicotinamide away from the NAD+ salvage pathway
Many women find that their usual diet plan stops working, they gain weight around their middle, and exercise doesnt have the same effect it used to
Food and Chemical Toxicology, 163, 113230
If you experience severe adverse events such as persistent vomiting, severe abdominal pain, signs of pancreatitis, vision changes, or unusual swelling, stop the medication and seek in-person evaluation
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