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NAD+ (Nicotinamide Adenine Dinucleotide) : Essential coenzyme found in every cell Functions : Powers mitochondria (cellular energy production) DNA repair mechanisms Sirtuin activation (longevity genes) Metabolic regulation Cellular stress response The problem : NAD+ levels decline 50% by age 40-50 Consequences of low NAD+ : Reduced energy and fatigue Slower recovery Accelerated aging Impaired cognitive function Metabolic dysfunction Decreased cellular repair Learn about how peptides work at the cellular level

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The pathophysiological mechanisms linking this persistence to post-COVID IBS likely involve: Sustained inflammatory responses with elevated interferon levels Expansion of activated immune cells even 8 months post-infection Intestinal dysbiosis affecting the gut-brain axis Increased intestinal permeability during and after infection These findings suggest that long-term GI symptoms after COVID-19 may stem from ongoing intestinal inflammation driven by viral persistence, rather than merely representing psychological sequelae of the acute illness

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Weekly Audits: As part of a routine lab check, a designated person reviews all opened vials in the refrigerator