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Its principal physiological role is to transport long-chain fatty acids into the mitochondria the energy-producing structures within cells where they are broken down to generate energy

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Extensive research has demonstrated an increase in TUNEL-positive corneal and conjunctival epithelial cells both in vivo and in vitro in DE conditions, indicating an upsurge in apoptotic cell death [71, 72]

Niacinamide is needed to make NAD+/NADH and NADP+/NADPH, which slow aging and support cell repair, immune function, and energy use in the body [55, 56]