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Given that NAD + -depleting drugs exhibit anti-tumor potential due to their impact on DNA repair and inflammation, long-term boosting NAD + might increase the risk of driving tumor growth

Ceppa EP, Ceppa DP, Omotosho PA et al (2012) Algorithm to diagnose etiology of hypoglycemia after Roux-en-Y gastric bypass for morbid obesity: case series and literature

Wegovy is also approved to reduce the risk of serious cardiovascular events, such as heart attack and stroke, in adults with cardiovascular disease and obesity or overweight

If Vitamin B12 deficiency develops, neurological symptoms may appear, and if untreated for long periods, damage can become permanent