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This restoration of metabolic cofactor availability enables enhanced function of NAD+-dependent enzymes including sirtuins, poly(ADP-ribose) polymerases, and various deacetylases that regulate cellular metabolism, stress responses, and aging processes

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Step 3: Targeted Peptide Layering Once hormones are optimized (typically 48 weeks), we layer in 12 targeted peptides based on your remaining symptoms

At least a third of the most severely affected patients die of acidosis in the neonatal period

It should only be used in those with low thyroid function but you can pretty much guarantee that those with obesity have some level of thyroid dysfunction making it a great alternative