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Sufficient NAD+ availability is necessary for these enzymes to operate, so raising NAD+ levels could in theory modulate pathways related to aging, inflammation, and cell survival

The integrative role of sulforaphane in preventing inflammation, oxidative stress and fatigue: a review of a potential protective phytochemical

Otherwise, when the concentration of THs exceeds the physiological level, it can increase the secretion of somatostatin and decrease GHRH, eventually causing a downregulation of pituitary GH (206)

doi: 10.3390/ph16040592 27

If you're still breaking out at week seven with no clear improvement trend, the product is causing ongoing problems