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At the most basic level, NAD+ is required for turning the food you eat into usable energy

But, as mentioned, those studies were much too small to really know whether it is safe

Complete Tendon Regeneration and Structural Strength (Staresinic et al., 2003) BPC-157 enhanced functional recovery and collagen alignment in rat Achilles-tendon transection models, producing organized parallel fibers

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These claims are positioned as supporting general wellness rather than treating specific medical conditions