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Check serum vitamin B12 levels, complete blood counts, and how the patient is doing regularly
"Normalizing effect of the pineal gland peptides on the daily melatonin rhythm in old monkeys and elderly people." Bulletin of Experimental Biology and Medicine
Functional outcomes are heterogeneous: Effects on functional endpoints metabolic markers, vascular function, physical performance, cognitive measures were described as heterogeneous and often null or endpoint-specific. Some studies showed improvements in specific metabolic markers, while others found no significant functional changes despite confirmed NAD+ elevation
Srivastava, S., Mennemeier, M., & Pimple, S
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