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Patients should be advised to maintain consistent timing of all medications when possible and to inform all healthcare providers about their use of Tirzepatide / Niacinamide Injection when receiving treatment for other conditions or when new medications are prescribed

This enzymatic process results in the depletion of NAM, a precursor of nicotinamide adenine dinucleotide (NAD + ), and the generation of SAH, a precursor of homocysteine (Hcy)

While these changes typically require extended exposure at high levels, they represent a real risk of excessive or prolonged use

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