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Another important risk of using metformin that I want to highlight is the risk of nutrient deficiencies

Nicotinamide adenine dinucleotide functions as a central metabolic coenzyme in every cell of your body

MedComm 4 , e273 (2023)

Clin Chim Acta (2019) 496:10816

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For example, in a recent cross-sectional surveillance study conducted in 43 paediatric patients taking VPA [48], only two were found to have carnitine levels below the normal limit, suggesting that routine carnitine level checking is not justified