In a study that examined urinary excretion of NAM and niacin metabolites, both oral NAM and NAD + produced similar excretion levels, suggesting the NAD + had similar (but not better) niacin activity
Abbreviations FSH: Follicle-stimulating hormone CNS: Central nervous system GnRH: Gonadotropin-releasing hormone cAMP: Cyclic adenosine monophosphate IGF: Insulin-like growth factors CREB: cAMP response element-binding protein hCG: Human chorionic gonadotropin PI3K/Akt: Phosphatidylinositol 3-kinase/protein kinase B MAPK/ERK1: Mitogen-activated protein kinase/extracellular signal-regulated kinases CYP19A1: Cytochrome P450 family 19 subfamily A member 1 References Adamson GD, Rutherford AJ (2018) Commercialization of in-vitro fertilization
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