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It's a key player in whats known as hyperplasia, which is the creation of new muscle cells, as opposed to hypertrophy, which is the growth of existing ones

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The metabolic benefits extend to cellular energy regulation, where NNMT inhibition increases intracellular NAD+ levels by 1.2-1.6 fold

[DOI] [PubMed] [Google Scholar] 147.Jiang F, Zhang Z, Zhang Y, Wu J, Yu L, Liu S

Most studies have focused on the effects of aluminium, among other heavy metals, on biological systems