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These include pain, swelling, itching, bruising, and redness

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By inhibiting this enzyme, NAD+ levels rise within cells, leading to enhanced energy metabolism , lipid breakdown , and mitochondrial activation

Advertisement Article continues below this ad In addition to pain, an abnormal increase in red blood cells, a runny nose, chest pain, a swollen tongue, and fever are additional adverse reactions that may occur after the injection

It is important to note that all current evidence derives from in vitro cellular models and in vivo animal studies, and no human clinical trials have been conducted as of February 2026