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Diet, supplements (e.g., niacin, NR), and exercise help, but may not suffice post-40 due to inefficiency and depletion.[18][19] Oral precursors like NMN increase NAD+ but bioavailability varies

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they did not reply to our attempts to work with them on getting the information out to primary and secondary care

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It's always a good idea to talk to a doctor about supplements you're thinking about taking and to make sure you aren't taking too much