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Elevated liver enzymes usually indicate inflammation or injury of the liver

You may be advised on hydration, monitoring how you feel, and what to do if you notice any unexpected reaction

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However, there is also no reports of maternal or fetal harms with the ingestion of normal daily recommended amounts during pregnancy

The interest traces to a 2014 Nature paper showing that knocking down NNMT in fat and liver protected mice against diet-induced obesity, glucose intolerance, and fatty liver, partly by shifting adipose NAD+ and SAM levels [4]