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Scientists have found good ways to block CD38: Apigenin, a natural flavonoid, stops CD38 from working and increases NAD+ inside cells Thiazoloquin(az)olin(on)e (78c) blocks CD38 so well it doubles NAD+ in normal cells but doesn't affect cells without CD38 NAMPT activation to improve NAD+ recycling NAMPT controls the key step in NAD+ recycling by turning nicotinamide into NMN

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The next section splits these mechanisms into two practical groups: FDA-approved GLP-1 drugs available only by prescription, such as semaglutide and tirzepatide, and non-prescription peptides that work through growth-hormone stimulation or fat-cell targeting instead, such as CJC-1295 and AOD-9604