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However, a decline in NAD + levels can precipitate a NAD + /NADH redox imbalance, resulting in an accumulation of excess NADH

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Studies suggest that AOD9604 does not bind the growth hormone receptor and does not activate the JAK2/STAT5 pathway, which accounts for the absence of growth-promoting or IGF-1-elevating effects observed in animal studies

So, who is most at risk for developing this deficiency
