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NAD + can inhibit the release of presynaptic glutamate, reduce the induced excitatory postsynaptic current, and weaken excitatory neurotransmission, thereby inhibiting bilirubin-induced hyperexcitability of ventral cochlear nucleus neurons [124]

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People with cancer history, uncontrolled diabetes, severe sleep apnea, or significant cardiovascular disease should avoid GH-altering compounds unless supervised by a specialist