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Even your mood might shift, with unexplained depression or irritability

Trimethylaminuria (Fish Odor Syndrome)

People who receive hemodialysis frequently struggle to fall asleep, sometimes as a result of breathing pauses while they sleep (sleep apnea), or as a result of achy, unpleasant, or restless legs
[DOI] [PMC free article] [PubMed] [Google Scholar] 74.Jang J

The quicker NAD can be absorbed by your body, the sooner results will be felt