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Reported anecdotal effects include: Mild gastrointestinal discomfort (nausea, loose stools), most commonly reported with oral capsule formulations Headache, particularly in early use, which some users attribute to altered nicotinamide metabolism Sleep disruption, reported in a subset of users taking doses in the afternoon or evening Transient energy fluctuations described as either increased energy or fatigue depending on the individual Important context: These are unverified anecdotal reports

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