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In particular, the pro-inflammatory state observed during the aging process may provide a link between cytokine-induced CD38 expression, age-related tissue NAD decline, and the inflammaging theory [1, 53]

Immediate medical attention should be sought if an allergic reaction is suspected

Advanced insulin resistance, mitochondrial damage from chronic oxidative stress, or inflammatory states can create barriers to AMPK activation and NAD+ utilization that require co-interventions (caloric restriction, anti-inflammatory compounds, or antioxidant support)
