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347,348 Aging-related NAD + decline causes mitochondrial dysfunction Combining the evidence that mitochondrial dysfunction is a hallmark of aging and NAD + plays a crucial role in the maintenance of mitochondrial function

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Navigation strategies: Find peptide-friendly physician (functional medicine, anti-aging specialists sometimes more open), educate current doctor with research papers (provide Cerebrolysin glaucoma studies, BPC-157 animal research), emphasize peptides as adjunct not replacement for standard care, agree to rigorous monitoring ensuring no harm, accept that doctor may remain skeptical but willing to monitor, consider changing providers if current doctor completely dismissive, proceed without physician support if necessary though suboptimal, never abandon proven treatments (pressure drops, anti-VEGF) regardless of peptide use

Gad AAM, Sirko A