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Concurrent Use with Other NNMT Inhibitors or Methylation Modulators Combining with supplements or drugs that also inhibit NNMT or alter methylation (e.g., SAMe , niacin , methylfolate , resveratrol ) could lead to: Excess NAD accumulation Methyl donor depletion Unpredictable metabolic effects Use caution and monitor methylation-related pathways if stacking 3

These can include: improving your circulation with a compression device elevating your arms and legs wearing compression stockings moving around as much as possible after surgery once a doctor has given permission physical therapy after surgery, if needed taking medication, such as blood thinners or aspirin Depending on the type of surgery and individual circumstances, the doctor may prescribe blood thinners such as warfarin (Coumadin) or heparin