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Jossy Onwude, MD Published Jun 15, 2026 14 min read If you live with inflammatory bowel disease, chronic gut inflammation, or an autoimmune skin condition, you've probably run out of answers that don't come with serious trade-offs

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Intracellular NAD+ is deficient in the majority of adults we see, and that deficiency is affecting energy, recovery, and cellular function in ways theyve learned to accept as normal aging. One thing that separates NAD+ from every peptide on this list: you can measure it

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