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This suggests that joint levels largely reflect systemic levels, likely through passive distribution from the circulation

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Agis-Balboa RC, Arcos-Diaz D, Wittnam J, Govindarajan N, Blom K, Burkhardt S, Haladyniak U, Agbemenyah HY et al (2011) A hippocampal insulin-growth factor 2 pathway regulates the extinction of fear memories

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NAD+ levels naturally decline with age, a phenomenon observed across multiple tissues and species

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