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The gut microbiome as a target for prevention and treatment of hyperglycaemia in type 2 diabetes: from current human evidence to future possibilities

Other's on here are far more experienced than I who will cast an eye over your results and offer advice albeit they are not medics but have gone through this themselves

[4] How NAD+ Supports Mitochondrial Function Mitochondria depend on NAD to maintain efficient energy production

doi.org/10.1111/ejh.13345 Ghanbari, A., Shahrbabaki, P

The onset of obesity primes the enlarged visceral adipocytes and infiltrating macrophages to overexpress and release soluble DPP-4 in the bloodstream, where its levels correlate directly with BMI and insulin resistance in skeletal muscle cells and liver tissues