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Beyond its vital role as a coenzyme in energy metabolism, the important role of NAD + has expanded to be a co-substrate for various enzymes including sirtuins, PARPs, CD157, CD73, CD38 and SARM1

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However, results will vary between patients

1,7 The underlying cause of Bells palsy is not known in most cases, but inflammation and reactivation of a dormant viral infection affecting the facial nerve, also called the cranial nerve VII, appear to be important contributing factors