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If any severe or persistent side effects occur, its important to contact our office immediately for further evaluation and guidance

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479 Nicotinamide mononucleotide increases NAD + levels, improves lysosomes damaged by mitochondrial dysfunction and autophagy, thereby inhibiting ferroptosis and reducing heart failure

Despite its benefits, a long-term KD may lead to several adverse effects, such as impaired glycaemic control (including reduced glucose tolerance), an adverse atherogenic lipoprotein shift (e.g., elevated apolipoprotein B levels), increased systemic inflammatory burden (e.g., higher C-reactive protein levels), and persistent restructuring of the gut microbiome (altered diversity) 199