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doi: 10.3389/fimmu.2023.1226443 29 OhlKTenbrockK
NNMT is an enzyme that grabs nicotinamide and methylates it, turning it into a waste product called 1-MNA that gets cleared from the body
Avoid sugary foods and beverages, refined carbohydrates like white bread, and high fat fried foods, as they can cause rapid blood sugar spikes or lower the medications effectiveness
However, dehydration can occur indirectly as a secondary consequence of common gastrointestinal side effects, such as nausea, vomiting, or diarrhea, alongside a significantly reduced drive to drink fluids due to profound appetite suppression
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