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NAD + can be generated de novo in the kynurenine pathway, where Trp is oxygenated to N-formylkynurenine by tryptophan 2,3-dioxygenase (TDO) or indoleamine 2,3-dioxygenase (IDO) 31

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The body of evidence strength was categorized as Grade B because although the individual trials were of high quality, the findings from the trials were contradictory
