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IL-12 and IL-23 pathway inhibition in inflammatory bowel disease
And elevated NAD+ activates sirtuins (especially SIRT1 and SIRT3), the enzymes that shift cellular metabolism from carbohydrate dependence to fat oxidation

While more research is needed, the existing evidence and real-world stories make it an exciting option to explore
For diabetic Ozempic users specifically, close glucose monitoring is warranted when adding these compounds
