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Because fatigue, pain, dizziness, cognitive problems, and neuropathy may have many causes, evaluation should also consider other infectious, neurologic, autoimmune, endocrine, metabolic, cardiovascular, and medication-related conditions
NAD+ is an essential **bioactive** coenzyme that declines with age, and supplementation can help maintain metabolic efficiency during caloric restriction
Further testing with complete blood count (CBC) can identify consequent anemia and/or enlarged red blood cells

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