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As a key coenzyme in mitochondrial energy metabolism, increased NAD enhances mitochondrial oxidative phosphorylation, promotes triglyceride breakdown in adipocytes, and converts fat into energy for the body, thereby reducing adipose tissue accumulation

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They may recommend laboratory testing to evaluate for anemia, thyroid dysfunction, vitamin deficiencies (particularly B12 if you also take metformin, vitamin D, and iron), or other metabolic abnormalities

The remaining 60 (9.4%) responses were classified as indifferent or concerned (this group was largely categorised by patients who were initially concerned but were no longer concerned)