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When the cellular demand for NAD+ to sustain oxidation exceeds the rate of ATP turnover, particularly in cells exhibiting active aerobic glycolysis, NAD+ regeneration becomes a limiting factor under conditions of compromised mitochondrial respiration

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29 In terms of the nervous system, GLP-1 receptor (GLP-1R) expression is enriched in central nervous system (CNS) regions, including the hypothalamus, which regulates appetite, and the brainstem, which primarily secretes brain-derived GLP-1, as well as in the peripheral vagus nerve

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