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Further research is ongoing to determine its long-term safety and efficacy for obesity treatment

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In D-galactose-induced aging mice, oral administration of the product significantly increased NAD+ levels in liver and adipose tissue, activated mitochondrial energy metabolism pathways, improved insulin sensitivity, lowered blood glucose and lipid levels, reduced visceral fat accumulation, and increased energy expenditure, alleviating fatigue and abnormal body weight associated with aging

they are routine constituents of prenatal vitamins and are considered safe when used at recommended doses

That said, the components, the vitamins themselves, are well studied, and compounders must adhere to strict quality standards