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Here is what the research shows it doing at the system level: Collagen and elastin synthesis Upregulates genes responsible for producing structural proteins, relevant to skin, connective tissue, and wound healing research Anti-inflammatory signaling Downregulates NF-kB, the master switch for inflammatory gene expression Antioxidant activity Upregulates superoxide dismutase (SOD) and other antioxidant enzymes, reducing oxidative damage at the cellular level Stem cell activation Research suggests activation of tissue-resident stem cells, accelerating regenerative processes Nerve growth factor modulation Evidence supports neurotrophin expression, relevant to nerve repair research This represents systemic activity across multiple pathways once in circulation

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Metabolic control by sirtuins and other enzymes that sense NAD(+), NADH, or their ratio

Early research labeled these conditions as inflammatory problems, hence the itis suffix suggesting inflammation

Resolution of inflammation is altered in Alzheimers disease

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