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While you should always consult your healthcare provider before starting a new supplement, it may be wise to avoid or closely monitor astaxanthin use if you fall into one of the following categories: People taking blood pressure or cholesterol medications Astaxanthin may modestly lower blood pressure and LDL cholesterol in some studies.29 42 If you already take antihypertensive or statin drugs, combining them could theoretically amplify these effects

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Another paper in Ageing Research Reviews found that NAD may “replenish NAD levels in aged tissues and exhibit beneficial effects against aging and aging-related diseases