“…Studies in patients with poor ovarian response (POR) have shown that this disfunction is related to nicotinate and NAM metabolic pathways and appears to impact the ovarian reserve 66 . Moreover, NAM is very important for oocyte maturation, it is involved in the salvage pathway of NAD + synthesis in cumulus cells, and is increased substantially throughout the course of oocyte maturation 67 . We speculate that the mitochondrial disfunction observed in oocytes can be due, at least in part, to a decrease in NAM availability.…”