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Robinson, F

Oberley, L.W

Acid reflux and gas Other GI side effects may include gas (burping, flatulence), indigestion, and acid reflux, though these are less common than side effects like nausea and vomiting

Overall, events are usually mild and reversible upon dose adjustment or discontinuation Pregnancy & Breastfeeding Animal reproduction studies have not demonstrated fetal harm with levocarnitine, and the drug is classified as Pregnancy Category B

Rather than directly supplying NAD+ precursors (like NMN or NR), it works by blocking an enzyme that consumes nicotinamide, theoretically preserving the substrate pool for endogenous NAD+ production