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Because of this, the effects in human patients are unconfirmed

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10.1002/ptr.8200 18 Bago RoankoviP.RoankoviM.BadakJ.StojiM.uak SporiI

Elevates NAD+ and S-adenosylmethionine (SAM) levels, shifting metabolic flux toward energy expenditure and away from fat storage 1-4

To improve efficacy and reproducibility, future research should focus on the standardization of herbal compounds, optimization of clinical trial design, and adoption of integrative approaches that combine herbal therapies with conventional pharmacological treatments