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Administrator in reply to I can trace my symptoms back over 40 years though as you say - they did rather snow ball in the last few years

Muscle Sustainment: Elevated NAD+ also bolsters mitochondrial health, potentially minimizing muscle atrophy and enhancing muscle growth

This suggests its metabolic influence is primarily on fat oxidation rather than muscle catabolism

When in doubt, convert everything to the same unit before calculating

I am dead without huge amounts of B12 but come out in acne if I manage to get more than I need