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Additionally, carnitine supports heart health, boosts metabolism, and may aid in weight management by helping the body burn fat for energy during exercise instead of breaking down muscle

Despite CD38s still central role in MM therapy, too little attention has been paid to its broader rolesnot only as a myeloma marker but also as an enzyme and adhesion molecule in physiology

Exercise : In the menstrual phase, you might feel more fatigued due to cramping and blood loss

Mental problems such as memory loss or behavioral changes

[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares