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In C2C12 myotubes, NNMT inhibitor treatment produces concentration-dependent increases in NADH levels (50% higher at 30 M) and reduces NAD+/NADH ratios by 25-40%

When to seek further advice Contact your GP or prescribing clinician if you: Experience severe or persistent nausea, vomiting, or abdominal pain Develop symptoms consistent with pancreatitis: severe upper abdominal pain radiating to the back, particularly after eating Notice signs of hypoglycaemia (shakiness, sweating, confusion) if you're also taking insulin or sulfonylureas Are concerned about rapid muscle loss or persistent fatigue during treatment Have purchased or used unlicensed peptide products and are experiencing adverse effects - seek medical advice without delay A full list of known side effects and drug interactions is available in the patient information leaflet supplied with your medication

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These include low platelet count , red blood cell damage, and kidney problems