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Similarly, a study based on swimming exercise for a total of four hours showed an increase in NAD + levels, yet also in this case, no measurements of mitochondrial function were performed 309 , reinforcing the need for more exercise-based investigations to further define how NAD + and mitochondrial homeostasis are perturbed and connected during exercise

Compounds like carnitine, derived from the amino acids lysine and methionine, help transport fatty acids into cells to be used as energy sources

This introduces safety and a risk of uncertainty