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These cells, which accumulate with age, no longer divide but resist programmed cell death, contributing to inflammation and tissue dysfunction

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On mechanism, NAD+ powers and repairs cells broadly, while peptides send precise instructions to specific cells

Drug interactions: Certain medications, such as omeprazole, lansoprazole, cimetidine, and metformin, can lead to low vitamin B12 levels

Unlike vitamin D, B12 is not produced by the body and must be obtained from diet or supplements