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Another natural compound, trigonelline, a methylated form of nicotinic acid, is a newly discovered NAD + precursor able to increase NAD + in multiple species, with preclinical implications for use in sarcopenia, and for muscle and cognitive decline in aging 124,130,131

The similarities are not coincidental

The refusal to provide this essential treatment a day early, when the patient is symptomatic, is fundamentally different from a dietary suggestion

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