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[4] NAD+ can be produced in the body by biosynthetic intermediates such nicotinamide mononucleotide and nicotinamide riboside as well as by the amino acid tryptophan or the vitamin precursors nicotinic acid and nicotinamide, generally known as vitamin B3 or niacin
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When this happens, the cause is usually not the medication itself, but rather a condition called telogen effluvium, which is linked to rapid weight loss and metabolic stress
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