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This side effect is linked to the stimulant effect of the medication on the nervous system

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Hives appearing alongside certain symptoms indicate a life-threatening allergic reaction

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A randomized crossover trial in patients with cirrhosis and chronic encephalopathy further demonstrated that a predominantly vegetableprotein diet improved nitrogen balance, lowered ammonia and related metabolic markers, and modestly improved encephalopathy compared with an isocaloric, isonitrogenous animalprotein diet [121]

After trying these NAD+ supplements a few times, he didnt experience any side effects, rating it a 5 out of 5 in this category