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Researchers hypothesize that the elevated NAD+ levels increase futile cycling a process where cells burn energy to maintain electrochemical gradients rather than storing it as lipid droplets

Research is ongoing, but the dual approach is intriguing

doi: 10.1055/s-2007-979231

As far as I can tell, here is the actual human ledger: Two industry trials from the early 2000s, when the Croatian firm Pliva developed BPC-157 for inflammatory bowel disease