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Drug-induced acne is characterized by a sudden onset of erythematous papules on the face, neck, shoulders, and/or back without pustules, crusting, pruritus, or comedones

Current investigations continue to assess NNMT-associated enzymatic activity, NAD+-related signaling, and cellular energy metabolism behavior across different in vitro systems and analytical frameworks

Neurological symptoms often develop gradually and may include: Paraesthesia : tingling or 'pins and needles' sensations, typically starting in the feet and hands Numbness : reduced sensation in the extremities, which may affect balance and coordination Burning pain : particularly in the feet, often worse at night Weakness : muscle weakness and difficulty walking Balance problems : unsteady gait and increased fall risk due to proprioceptive impairment Cognitive changes : memory problems, confusion, difficulty concentrating, and mood disturbances Haematological signs may accompany neurological symptoms and include fatigue, weakness, pallor, and shortness of breath due to megaloblastic anaemia

Healthcare professionals such as nurses, pharmacists, and clinicians who want to learn safe injection practices