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Most common: Acne / oily skin Libido changes Mood fluctuations (including irritability) Fluid retention Injection site pain, swelling, or bruising Elevated blood pressure Elevated hematocrit, hemoglobin, and PSA (lab monitoring required) Testicular shrinkage / atrophy Gynecomastia Night sweats Serious side effects may include: Polycythemia / elevated hematocrit (monitor CBC) Suppression of spermatogenesis / infertility while on treatment Elevated PSA Sleep apnea exacerbation DVT or PE (rare
Lower NAD levels have been associated with fatigue, brain fog, slower recovery, decreased metabolic efficiency, increased oxidative stress, and reduced cellular repair
5-Amino-1MQ selectively inhibits nicotinamide N-methyltransferase (NNMT), a methyltransferase enzyme that catalyzes the transfer of a methyl group from S-adenosylmethionine (SAM) to nicotinamide, producing 1-methylnicotinamide
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[3] Appropriate maternal folic acid intake is important during lactation, and no problems have been identified with supplementation to achieve adequate intake goals during breast-feeding
