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A significant contributing factor to the prevalence of T2DM is obesity, which is strongly associated with serious consequences such as chronic kidney disease, hypertension, stroke, and liver disease that impair both the quality and quantity of life as life expectancy declines with rising body mass index (BMI) [2]

Specifically, the protective effects of high CRF against metabolic, cardiac, and brain impairments were mediated by the modulation of body weight and composition, the lipid profile, substrate oxidation, mitochondrial function, insulin signaling, autophagy, apoptosis, inflammation, oxidative stress, cardiac function, neurogenesis, blood-brain barrier, synaptic function, accumulation of Alzheimers disease-related proteins, and cognition

Reliable references such as a peer reviewed review published in the National Institutes of Health PubMed Central library on how NAD+ metabolism is regulated across aging and disease reinforce that supervised, evidence informed care is the safest path with any wellness therapy

Its vital to follow a healthcare providers guidance for dose adjustments