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It's a compound your body already makes using amino acids (from protein)

The monthly cost of treatment may exceed the entire annual medication budget for some patients, creating substantial access challenges

Annual review of immunology 27 , 229265, doi: 10.1146/annurev.immunol.021908.132715 (2009)

Additionally, it is used as an adjuvant in the treatment of neuropathic pain and in situations of chronic stress

NO improves microcirculation to reproductive organs, increasing oxygen and nutrient delivery to ovaries and testes, potentially supporting egg and sperm quality and seminal fluid function