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IGF-1 availability is tightly regulated by the so-called insulin-like growth factor binding proteins (IGFBPs), which may act by increasing IGF-1 half-life, from minutes to hours (most commonly by forming a tertiary complex with Acid-Labile Subunit and IGFBP3), however blocking its binding to the insulin-like growth factor 1 receptor (IGF-1R) [9395]

This approach theoretically prevents tolerance development and allows natural NNMT function to reset periodically

However, a decline in NAD + levels can precipitate a NAD + /NADH redox imbalance, resulting in an accumulation of excess NADH

It works best when combined with a healthy diet and exercise routine