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The inconsistency theme in reviews is the most concerning finding

In autoimmune disease, your immune system attacks your healthy cells releasing the inflammatory cascade like auto antibodies that attack your cells and injure them

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As with everything in this section, the timing logic is coherent

Many of these pathways require adequate NAD+ levels for optimal function, meaning NAD+ restoration before treatment could be a strategy to ensure the underlying cells are in an optimal condition to respond to the treatment