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In vitro and preclinical studies examine its influence on NAD salvage pathways, energy expenditure mechanisms, and adiposity regulation under controlled experimental conditions

In that same study, there was a dose-dependent decrease in HDL and one discontinuation due to aspartate aminotransferase (AST) elevation [13]

Monitoring and follow-up: Routine blood monitoring of B12 levels after treatment initiation is generally unnecessary, as levels will be artificially elevated