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These initial studies reported increased NAD + and NAM levels in plasma, and in urine, the excreted NAD + levels increased after 6 h 66 , but it must be noted that these trials utilized small cohorts and short testing periods, and only a minor trend for cognitive improvement was observed 117

It plays a critical role in the growth and maintenance of hair by aiding in the production of keratin, the protein that forms the structural building blocks of hair

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This can occur due to loss of appetite, digestive issues, and muscle weakness, which are common side effects of B12 deficiency

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