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The renewed scientific interest in NAD+ stems from a convergence of discoveries in the early 2000s: the identification of sirtuins as NAD+-dependent deacylases with profound effects on aging and metabolic regulation, the demonstration that NAD+ levels decline significantly with age across multiple species, and the development of NAD+ precursors (NMN and NR) as research tools for restoring NAD+ pools

[6], [7] Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as non-alcoholic fatty liver disease (NAFLD), is the most prevalent chronic liver disorder worldwide, with an increasing incidence driven by the global rise in obesity and metabolic syndrome