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Mechanistic Studies Subsequent research has explored the mechanisms by which NNMT regulates metabolism, with studies demonstrating that NNMT activity reduces cellular NAD+ availability, affects SAM-dependent methylation reactions, modulates sirtuin activity, and influences adipocyte differentiation and function

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This mechanism is different from traditional irritant ingredients such as acids and retinol

This result contrasts a recent study that found no evidence of differences in macrovascular disease prevention for GLP-1RAs compared with metformin in individuals with type 2 diabetes (whose hepatic steatosis status was unclear) [39]

Medically reviewed by Austin Baraki, MD An evidence-based review of creatine supplementation during GLP-1assisted weight loss