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In addition, CD38 degrades NAD + precursors such as NMN

BMJ 2008;336(7644):6015

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People who should not take lipotropic injections include those who are pregnant or breastfeeding, individuals with a known allergy to any of the injection ingredients (particularly sulfa-related sensitivities due to methionine), people with severe liver or kidney disease, and those taking certain medications that may interact with the supplement ingredients