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Clinical Update 12/18/2025 Enzymes for Back Pain

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The gut microbiota modulates brain function through neuronal (vagal and enteric nervous system), endocrine (gut-derived hormones and HPA axis), and immune (cytokines, inflammation) pathways

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Lastly, along with folate, vitamin B12 prevents a buildup of the amino acid homocysteine, which is harmful at high levels

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That distinction matters clinically, but it does not change the fact that NAD+ therapy is one of the most evidence-backed interventions we use for energy, cellular repair, and cognitive performance at our clinic

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We retest labs, review results against goals, and adjust the next cycle or move to a different protocol

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MONOACYLGLYCEROL HYDROLYSIS Monoglyceride lipase (MGL) is a 33 kDa hydrolase, purified 2500-fold from rat adipose tissue in 1975 by Tornqvist & Belfrage (129)

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