HernandezABohannonJKLuanLFensterheimBAGuoYPatilNKet al
It does not require proof of efficacy in large trials the way we typically expect from drugs, but it facilitates prescribing, and that changes things a lot, because there wont be a black market anymore
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It has been studied to protect the liver from toxic damage (alcohol, antibiotics, etc.)
So my analogy is, think about NAD, it's kind of like the life source, a river that feeds into a valley