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I also recommend Fresh Start on any ketonic doe in addition to the P/C - See Fresh Start Below

By inhibiting NNMT, 5-Amino-1MQ preserves NAD+ levels, allowing the coenzyme to activate metabolic health pathwaysparticularly SIRT1 activation, enhanced mitochondrial function, and improved fat oxidation

Important note: Although oral therapy is very effective, the treatment of a severe deficiency with pronounced neurological symptoms should always be carried out in close consultation with a doctor