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Some describe feeling: Warmth in the face or chest A brief increase in energy or alertness Mild tingling A temporary metallic taste Mild pressure or cramping sensation These sensations are usually short-lived and are thought to reflect the rapid cellular and metabolic activity triggered by NAD as it supports mitochondrial function and cellular energy production

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Causes of the condition are not fully defined, but at least part of the problem can be contributed to an infection in honey bee guts by the fungus Nosema ceranae