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This cascade promotes lipolysis (fat breakdown), protein synthesis, and favorable metabolic shifts

Excessive NAM depletion directly reduces the substrate supply for NAD+ synthesis, leading to decreased intracellular NAD+ levels

This extraordinary proliferative activity requires correspondingly high ATP output from follicular mitochondria, making copper availability for cytochrome c oxidase function directly relevant to the energy supply that sustained hair growth demands

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If digestive symptoms such as ongoing diarrhea, abdominal pain, bloating, or unexplained weight loss are present, evaluation for malabsorption may be needed