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The interplay among multiple pathobiological pathways, such as the persistence of viral reservoirs, direct SARS-CoV-2-related tissue damage, dysbiosis, ongoing inflammation, autoimmunity and microthrombi phenomena, has been proposed as the main driver of Long COVID [9, 10]
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additionally NAD + can be generated in the mitochondria from NMNAT3 80 , whose activity has been shown to be required in cells 77 , but dispensable in vivo as NAD + can be replenished through other pathways such as import from the cytosol 81
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