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Mittendorfer B, Horowitz JF, DePaoli AM, et al

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During the long-term safety period, 5 patients (29%) experienced 6 AEs (tonsilitis, cyclic vomiting syndrome, hearing loss, tonsillar hypertrophy, decreased thyroxine free, and decreased vitamin D)

Always talk to your doctor before starting any new treatment, especially if you have underlying health conditions or are taking other medications

However, the exact way NNMT works still needs more exploration, and further studies are needed to fully understand and develop treatments focused on NNMT