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This results in elevated intracellular NAD+ levels, optimized mitochondrial function, and enhanced energy metabolism without affecting appetite or caloric intake

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A subgroup analysis indicated that the glycemic benefits were dose-dependent, with lower doses (8 mg) demonstrating a greater HbA1c reduction (-1.39%) than higher doses (12 mg, -0.65%)

Metabolic tests showed that abnormal glucose levels and insulin resistance developed in the livers of mice fed a keto diet to a greater extent than in mice fed a high fat diet