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The mechanisms underlying this age-related NAD+ depletion involve multiple factors, including increased consumption by DNA repair enzymes, reduced biosynthesis, and enhanced degradation by CD38 and other NAD+-consuming enzymes

As for the pill - I have not had a good experience myself - it just did not do good things for my body, however I have heard in younger women it does marvels for regulating periods - so am surprised you are getting intermittent bleeding - worth another poke at the docs perhaps

Jeon et al

Its single-serve sachets fit perfectly into modern lifestyles and help ensure consistent dosing every day without measuring or guesswork