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Jessica Nazzaro, a practicing OB-GYN at the Cleveland Clinic, a NAMS-certified menopause practitioner and a medical advisor at Mira

But whatever the reason, your cells stop communicating as effectively, which can create a ripple effect of symptoms

As we age, the bodys production of NAD+ declines, which may lead to fatigue, slower metabolism, and reduced cognitive sharpness

Hepatic Antioxidant System The pivotal involvement of the liver in cleansing blood from the gut (considered to be the richest source of oxidants and toxins in the body), it's central role in intermediary metabolism and detoxification processes, its large active Kupffer cell (macrophage) population, imposes high risk for exposure to injurious substances, infectious agents, toxic adducts, and oxidizing substrates