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This presents without the classic heartburn but causes persistent throat clearing, a chronic cough that worsens after eating, hoarseness, a feeling of a lump in the throat, or worsening asthma symptoms
Another possible reason for the inhibitory role of NAM on NAD + activity could be that an increase in NAM level leads to a proportional increase of NAM methylation
Either shift your dose to 90 minutes before lunch (around 10:30am) or introduce a small breakfast to align with morning dosing
