Hopefully your competent? doctor is fully aware of what this can do.
Nicotinamide riboside (2 posts to April 2016)
Nicotinamide riboside attenuates myocardial ischemia-reperfusion injury via regulating SIRT3/SOD2 signaling pathway
Graphical Abstract

Our findings demonstrate that pretreatment with NR significantly reduces myocardial infarct area, decreases levels of CK-MB and LDH in serum, and improves cardiac function in the rats during myocardial ischemia-reperfusion (I/R) injury. Meanwhile, NR also effectively increases the viability and decreases the LDH release of H9c2 cells during OGD/R. Mechanically, we have provided evidence that NR pretreatment could decrease mitochondrial reactive oxygen species (mtROS) production and MDA content, and enhance SOD activity, thereby mitigating mitochondrial damage and inhibiting apoptosis during myocardial I/R injury. Further investigations revealed that NR increased NAD+ content and upregulated SIRT3 protein expression in myocardium. Through using of SIRT3 small interfering RNA and the SIRT3 deacetylase activity inhibitor 3-TYP, we have confirmed that the cardioprotective effect of NR on cardiomyocytes was largely dependent on the inhibition of mitochondrial oxidative stress via SIRT3-SOD2 axis. Overall, our comprehensive exploration into the mechanisms underlying NR-mediated myocardial protection will provide a theoretical foundation for prevention and therapy on myocardial I/R injury.
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