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An enzyme called NNMT (nicotinamide N-methyltransferase) drains the NAD+ salvage pathway by methylating nicotinamide, one of NAD+'s precursors
Unlike hormone replacement therapy (HRT) or testosterone replacement therapy (TRT), BPC-157 is not considered a hormone and does not directly replace testosterone
BPC-157 is going off right now
Cellular Energy Regulation Another area of research involves the peptides' role in cellular energy regulation
Higher NAD+ activates the sirtuin family of NAD+-dependent deacetylases, particularly SIRT1, which deacetylates PGC-1alpha (promoting mitochondrial biogenesis), FOXO transcription factors (enhancing stress resistance), and NF-kappaB (reducing inflammation)