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It's what it doesn't actually do

[8] Safe intake levels [edit] The Panel on Dietetic Products for the European Food Safety Authority reported safe daily limits of 2.82 mg/kg of body weight for infants, 3.39 mg/kg for small children, and 1.31 mg/kg for adults, including pregnant and breastfeeding women

In cardiac muscle, NAD+ supports mitochondrial function and energy production while protecting against ischemic injury and age-related cardiac dysfunction

This oxidation stress leads to skin aging, formation of wrinkles and fine lines and dull complexion

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Importantly, this does not necessarily mean the medication directly damages the hair follicle