Sirtuins and autophagy
The one pathway in this library where losing the signal measurably shortens a bone — and why the usual ways of pushing it, raising AMPK and inducing autophagy, point the other way.
Four things are usually bundled together here: NAD⁺, the fuel; SIRT1, the enzyme that runs on it; AMPK, the cell's fuel gauge; and autophagy, the clean-up system both of them switch on. They do belong together, and at a growth plate they do not all point the same way.
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Educational content, not medical advice. Nothing here is a recommendation to take or stop taking anything — talk to a doctor about your own situation.