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That doesnt make the drug unsafe, but it does raise questions that only long-term studies can answer

Long-term NMN administration rescues the age-associated decline in physiological function, including mitochondrial function, energy metabolism, gene expression changes, insulin sensitivity and plasma lipid profile, thereby improving physical activities, such as bone density and eye function

In a randomized double-blind placebo-controlled study, participants consuming Reducose with sucrose (sugar) experienced significantly lower postprandial glucose and insulin responses compared to placebo