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Choline: part of the B vitamin family, it breaks down fat, keeps cell membranes healthy and helps prevent gallstones

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Because NAD is a critical cofactor for cellular energy production, DNA repair, and sirtuin activity, modulation of this pathway has attracted growing interest in metabolic disease and healthy aging research

Your GP may recommend blood tests to check thyroid function and electrolyte levels, and possibly vitamin B12 status (particularly if you also take metformin), as deficiencies or imbalances in these areas can contribute to neurological symptoms

Acknowledgements The authors acknowledge funding support from the New Zealand Ministry of Business, Innovation & Employment Hkina Whakatutuki (UOAX1809