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Most likely, yes
One cause is dermatographism, a condition where light scratching or pressure creates raised lines
Elevated NAD+ levels activate sirtuins, particularly SIRT1, which are NAD+-dependent deacetylases that regulate numerous metabolic processes including fat oxidation, glucose metabolism, mitochondrial biogenesis, and cellular stress responses
A steroid rash that looks like a series of tiny pinpricks may also occur around the face and back
There's no evidence of tachyphylaxis (desensitization) with AOD-9604 since it doesn't affect the GH axis, but cycling is still recommended due to limited long-term human data