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chronically elevated cortisol can antagonise sex hormone production Reduced cardiovascular function: Severe malnutrition and associated anaemia can compromise cardiovascular function and tissue perfusion Psychologically, restrictive eating often creates preoccupation with food, body image concerns, and mental fatigueall of which diminish interest in sexual activity

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\Increased NAD+ Levels: Oral forms of NAD+ precursors have been shown to significantly raise NAD+ levels in human blood

Jorsal A, Kistorp C, Holmager P, et al