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for instance, there are no reports of NAD+ altering the metabolism of prescription medications or diminishing their efficacy

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Nevertheless, faeces in general tend to be a rich source of B12 that we certainly do not recommend but its a source of B12 for many animals and may explain why in predominantly vegetarian populations in areas lacking sanitation, poor people tend to have a better B12 status than the urban middle class (Sobczyska-Malefora et al., 2021)