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One policy is that COVID vaccine billing belongs under medical benefit Part B, while RSV vaccine claims belong under Part D drug benefit

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Cellular Signalling

The primary theoretical concern is that sustained NAD+ elevation through chronic NNMT inhibition could activate pathways (PARP, SIRT1) that have context-dependent roles in cancer biology NAD+ supports DNA repair and cellular longevity, but also fuels rapidly dividing cells

Liver and kidney stress Any compound processed by the body has the potential to impact organs like the liver and kidneys

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