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At the same time, the number of senescent cells, associated with damage or stress that secretes proinflammatory factors (SASP or senescence-associated secretory phenotype), increases with age in many key tissues, including the kidneys, lungs, blood vessels, and brain” SAM may not get the same level of media attention as NAD+, but that doesn’t stop it from being less useful: “S-adenosylmethionine, or SAM, has been used for several years in the treatment of hepatic conditions and osteoarthritis and more recently in the treatment of clinical depression

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Missing occasional doses won’t derail progress, but consistent daily administration produces best results