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How This Works SS31 (elamipretide) is a cellpermeable tetrapeptide with a unique mechanism of action targeting mitochondrial dysfunction [1]

its availability for NAD + synthesis can be partially controlled by modulation of purine nucleotide phosphorylase (PNP), which plays a role in purine salvage pathways where purine bases are recycled into nucleotides 24 and in metabolism of the NAD + precursor nicotinamide riboside (NR) 25

Pisani British Journal of Nutrition.2018

If you dont get enough vitamin B-6, you may develop symptoms like dry hair, cracked lips, and fatigue

Patients should review all their medications with their healthcare provider, as concomitant medicines (including SGLT2 inhibitors, diuretics, or caffeine-containing products) may contribute to increased urination