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Unfortunately, many adults in Carver and surrounding Minnesota communities may be at risk for deficiency, especially those following vegetarian or vegan diets, older adults, or individuals with certain medical conditions that impact absorption

Darkening of Skin and Gums: A peculiar side effect seen in about 1% of female trial participants was hyperpigmentation darkening of the gums or skin (particularly on the face and breasts)

I plan to order again for the following month and I will do another review

Kraus D, Yang Q, Kong D, Banks AS, Zhang L, Rodgers JT, Pirinen E, Pulinilkunnil TC, Gong F, Wang YC, Cen Y, Sauve AA, Asara JM, Peroni OD, Monia BP, Bhanot S, Alhonen L, Puigserver P, Kahn BB. Nicotinamide N-methyltransferase knockdown protects against diet-induced obesity. Nature. 2014 Apr 10;508(7495):258-62. doi: 10.1038/nature13198. PMID: 24717514; PMCID: PMC4107212

It's the standard in many European countries for treating deficiency, and is also used IV as an antidote for cyanide poisoning

For many, traditional options like weight loss injections arent always the right fit, leaving them searching for an alternative solution