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Journal of Investigative Dermatology, 141 (4), 1063-1070

In addition, nicotinamide, the primary NNMT substrate 95,96 , is broken down by Lactobacillus arabinosis into nicotinic acid and ammonia 56

Blood Vessel Damage Concerns over long-term exposure of Nexium surfaced once again when a study published in May 2016 in the Circulation Research raised questions about faster aging of blood vessels due to PPIs like Nexium