When people take nitrate medications for a long time, their body gets used to them and they stop working as well—this happens because the drugs cause cellular stress, damage the energy factories in cells, and make a key signaling molecule less responsive, so blood vessels don't open up as much anymore.
This study shows that long-term use of nitrate medications (like nitroglycerin) makes them less effective over time because they cause harmful stress in cells, damage energy factories (mitochondria), and blunt the signal that tells blood vessels to relax.
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