Data Context: What We Actually Know
Important: data limitations
Side Effects by Severity
Frequency: Common
Nausea, bloating, or stomach upset may occur, typically in the first few weeks. Starting with a low dose can minimize this.
Frequency: Common
Headache may be reported, especially during the initial dosing period. Usually, resolves within a few days.
Frequency: Rare
May occur during the initial days of use. Usually, resolves as the body adapts.
Frequency: Unknown
NNMT inhibition alters SAM/SAH ratios, potentially affecting DNA methylation. Monitor for associated issues.
Frequency: Unknown
Lack of human clinical data makes the long-term safety profile unknown. Exercise considerable caution during use.
Contraindications
- ✕Pregnancy and breastfeeding (no safety data)
- ✕Individuals with methylation disorders or related sensitivities
- ✕Known hypersensitivity to quinolinium compounds
- ✕Those with compromised liver or kidney function
Drug Interactions
- ⚠Methylation-dependent medications: May interfere with the effectiveness of drugs relying on methylation pathways
- ⚠NAD+ precursors: Concurrent use may have additive effects on NAD+ levels (clinical significance unknown)
- ⚠SAMe (S-Adenosylmethionine): Potential interaction due to involvement in methylation pathways
- ⚠No formal drug interaction studies have been conducted in humans
Frequently Asked Questions
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References
Last updated: 2026-02-19