I have some concerns over safety of LT use of this product. If anyone can answer these questions, I would be appreciative:
1. Half life of NR. How long does this stay in the system? I think it's best used in pulsatile fashion.
2. Downregulation of P53. If the NAD+/NADH ratio is adjusted substantially, SIRT1 upregulated, then P53 becomes downregulated. How do we mitigate the cancer risks associated with this outcome of opposing P53? EOD usage? Alternative solutions to upregulating P53? The dosage scheme that this company has come up with does not seem to be rooted in any scientific thought (at least for LT use).
The product is amazing, but maybe too good for a reason.
Standard nicotinamide is eliminated in .6 of an hour at 2.5 mg/ kg, longer as the dose increases. One side effect of high doses of nicotinamide is methyl group depletion.
http://diabetes.diab.../2/152.full.pdf
What the company didn't say about their in house testers,, was how effective the low 250 mg dose was at raising NAD vs 500 mg. it will be interesting to see if they publish the " ongoing clinical study ".
I believe that Metformin up regulates P53 as it's anti cancer MOA . Unfortunately it also suppresses NAD somewhat, as do NSAIDs like aspirin if I remember correctly.