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To address this, longevity and regenerative medicine researchers have increasingly focused on supplementing NAD+ and its precursors, including nicotinamide (NAM), nicotinamide riboside (NR) and nicotinamide mononucleotide (NMN)

These nonseroconverters include people on B-cell-depleting therapy or people with inborn errors of immunity, as these individuals are typically more susceptible to prolonged infection and higher rates of progression to severe disease [36, 37]

This process, known as paracrine signaling, allows exosomes to interact with cells in various ways - activating receptors on cell surfaces, merging with target cell membranes to release their cargo, or influencing the surrounding environment