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AHK-Cu performs best at pH 5.5-6

15 In contrast, falsely normal levels may be seen in patients with liver disease, myeloproliferative disorders, or renal disease

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Combined NNMT inhibitor treatment with reduced-calorie diet achieved 6.3 g cumulative weight loss versus 2.9 g with diet alone, and fat mass reduction was ten-fold greater with treatment (~29.3%) compared to diet switch alone (2.9%), while restoring fatty liver profiles to lean-control levels (Sampson et al., 2021)