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The clinical relevance of the treatment effect estimated using last observation on-treatment carried forward will be limited if trial participants tend to discontinue placebo earlier (or later) than participants in the active treatment group [4] since there is a risk of not comparing like with like in this type of analysis

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On paper that means less raw compound for the same systemic exposure

Within hours of treatment, research models begin showing increased NAD+ levels and reduced 1-MNA production, but the full spectrum of metabolic changes develops over days to weeks as downstream signaling cascades adjust to the new metabolic environment

Importantly, persistently high serum B12 in the absence of supplementation should prompt GP assessment, as it may indicate underlying disease processes

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