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In animal studies, no observable adverse effects were reported, and the compound did not affect food intake or inhibit related enzymes

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[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares

David Sinclair notes in his work: "NAD+ is pivotal for sirtuins and aging reversal
