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Translating the signal into proportionate action Persistent, unexplained elevation can justify further evaluation or a search for occult disease when the history, examination, CBC, liver tests, renal function, or other findings support it
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Rather than directly supplying NAD+ precursors (like NMN or NR), it works by blocking an enzyme that consumes nicotinamide, theoretically preserving the substrate pool for endogenous NAD+ production
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