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This means it should not carry the hyperglycemia, fluid retention, carpal tunnel syndrome, or theoretical tumor-promotion risks associated with exogenous GH or full-length GH secretagogues
A study from The Netherlands (Riphagen, 2020) found that after 8.5 years of follow-up of an older cohort (median baseline age=65), a doubling of baseline MMA levels was associated with an increased risk of mortality (HR 11.48, CI 3.3239.64)
doi: 10.3390/biomedicines10061299
It is an effective precursor for NAD+, but it comes with a well-known side effect: the niacin flush, which causes uncomfortable skin redness and itching
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