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While humans lack the nicotinamidase enzyme needed to convert NAM directly to NA, bacteria contain nicotinamidase and can deaminate NAM to NA.[2830] Gut microflora can also synthesize NAD from niacin and produce niacin equivalents from tryptophan.[3133] Niacin biosynthesis is present in the majority of the human gut microflora genomes: 63% of all investigated gut microflora genomes contained one or more NAD biosynthesis pathways.[33] Similar to other tissues, the gut also uses niacin equivalents for its needs

Pavicic and colleagues compared topical hyaluronic acid formulations across five molecular weights (50, 130, 300, 800, and 2000 kDa) in 76 women aged 30 to 60 over 60 days