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Mechanistically, NNMT suppression increased adipose SAM and NAD, upregulated polyamine flux enzymes (ODC, SSAT), and altered histone methylation consistent with a shift toward oxidative metabolism [2]

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Research into metabolic decline often reveals a "NAD+ sink," where the body consumes more NAD+ than it can produce, leading to mitochondrial "misfiring" and cellular senescence

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