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Some patients begin with one medication and add the second later if they hit a plateau, need stronger appetite control, or would benefit from a different mechanism

NAD+ (nicotinamide adenine dinucleotide) is a vital coenzyme found in every cell, driving energy metabolism, DNA repair, and mitochondrial performance

NNMT (nicotinamide N-methyltransferase) is a cytosolic enzyme that catalyzes a specific methylation reaction: it transfers a methyl group from S-adenosylmethionine (SAM) to nicotinamide, producing two products 1-methylnicotinamide (1-MNA) and S-adenosylhomocysteine (SAH)

and its mechanism of action is felt to be similar to that of 5-alpha reductase inhibitors

BPC-157 for gut health works by accelerating the repair of the gut lining, tightening the junctions between intestinal cells and resolving the leaky gut that perpetuates autoimmunity