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NAD+ precursors like nicotinamide mononucleotide (NMN) and nicotinamide riboside (NR) increase NAD+ by providing substrate for the salvage pathway, while 5-Amino-1MQ increases NAD+ by inhibiting NNMT, the enzyme that removes nicotinamide from circulation

Pfizer reported that while the overall frequency of liver enzyme elevations across the over 1,400 participant safety database of danuglipron was in line with approved agents in the class, a single asymptomatic participant in one of the dose-optimization studies experienced potential drug-induced liver injury that resolved after discontinuation of danuglipron