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NAD + /NADH is involved in this process within the mitochondria, where NAD + is reduced to NADH in the tricarboxylic acid (TCA) cycle and is subsequently oxidized to NAD + in the ETC for ATP generation

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Although it is naturally synthesised by the liver and kidneys, it does exist as a food supplement

However, the study's conclusion states that these findings may have been skewed by the fact the researchers were relying on participants self-reporting their cleaning behaviours, and they may have changed their answers to appear more socially acceptable