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Each stage of respiration, from glycolysis in the cytoplasm to the citric acid cycle and oxidative phosphorylation in mitochondria, depends on NAD+/NADH to carry reducing equivalents, thereby driving the production of cellular energy

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Regular intake of these B vitamins, especially in individuals with kidney disease or those who have undergone bariatric surgery, is vital for maintaining a healthy cardiovascular system

it just creates a more diluted solution