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As an NNMT inhibitor, it enhances NAD+ availability
The combination may produce additive microbiome benefits, though this has not been formally studied
Chronic kidney disease (CKD), particularly in later stages, is a recognized cause of hypercobalaminemia
Arch Neurol 46 : 543548 Vogel DG, Malekzadeh MH, Cornford ME, Schneider JA, Shields WD, Vinters HV 1990 Central nervous system involvement in nephropathic cystinosis
Sawicka AK, Renzi G, Olek RA. The bright and the dark sides of L-carnitine supplementation: a systematic review. J Int Soc Sports Nutr. 2020 Sep 21;17(1):49. doi: 10.1186/s12970-020-00377-2. PMID: 32958033; PMCID: PMC7507632
