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Changes in NNMT activity shouldnt be interpreted as producing predictable changes in NAD+ levels across all biological systems

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Cobalamin absorption testing (Schilling test)

The improvements could be due to placebo effect or the invasive procedure itself (cystoscopy), and subtle side effects might have gone unnoticed in such a small sample

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Exp Clin Gastroenterol 2:162173, 1992 Durr GHK: Therapeutic trials in acute pancreatitis