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However, in human systems the outcome of boosting NAD+ is complex and likely involves numerous pathways, from enhanced activity of sirtuins (implicated in longevity and metabolic control) to improved DNA damage repair, all of which are areas of ongoing investigation

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Maria Cardenas, MD (Board Certified: Internal Medicine) (Licensed Medical Doctor) Medical Director, Clinical Director & Collaborative Physician NPI # 1164426748 MD License #: J2933 Licenses and Board Certifications: MD: Medical Doctor DC: Doctor of Chiropractic APRNP: Advanced Practice Registered Nurse FNP-BC: Family Practice Specialization (Multi-State Board Certified) RN: Registered Nurse (Multi-State Compact License) CFMP: Certified Functional Medicine Provider MSN-FNP: Master of Science in Family Practice Medicine MSACP: Master of Science in Advanced Clinical Practice IFMCP: Institute of Functional Medicine CCST: Certified Chiropractic Spinal Trauma ATN: Advanced Translational Neutrogenomics Memberships & Associations: TCA: Texas Chiropractic Association: Member ID: 104311 AANP: American Association of Nurse Practitioners: Member ID: 2198960 ANA: American Nurse Association: Member ID: 06458222 (District TX01) TNA: Texas Nurse Association: Member ID: 06458222 NPI: 1205907805 Dr