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Possible symptoms may include: Fatigue or low energy Weakness Tingling sensations Difficulty concentrating Pale skin Shortness of breath These symptoms may also relate to other health conditions, so professional medical advice is important before treatment decisions are made

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Mateuszuk , Khomich TI, Somiska E, Gajda M, Wjcik L, omnicka M, Gwd P, Chopicki S (2009) Activation of nicotinamide N -methyltrasferase and increased formation of 1-methylnicotinamide (MNA) in atherosclerosis