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Research supports both oral and injectable administration

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However, accumulating evidence suggests that all LDH isoforms retain the inherent capacity to mediate pyruvate-to-lactate conversion accompanied by NAD+ regeneration, and that LDHA and LDHB can functionally compensate for each other under metabolic stress (44,45)

It is studied in preclinical models to investigate mitochondrial biogenesis enhancement, cellular energy metabolism regulation, neuronal metabolic support, and potential cognitive effects

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