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NAD+ plays a vital role as a coenzyme for redox reactions, making it essential for energy metabolism [2]

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The multiple pharmacological treatment options will enhance clinicians ability to identify effective personalised regimens by trying a second medication or combining medications with synergistic or complimentary actions or even escalating treatment to bariatric surgery based on patient preference and underlying comorbidities [7]

When you are pregnant, "good enough" is not the standard