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While KYN itself is not neuroactive, it is a branching point for two major metabolic routes: one leading to the synthesis of kynurenic acid (KYNA), which occurs in astrocytes, and another leading to the synthesis of picolinic acid (PA) and quinolinic acid (QA), occurring in microglia, with QA serving as a precursor for nicotinamide adenine dinucleotide (NAD) [25, 26]

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Lose weight or address body composition changes: Ask your clinician about GLP-1s (like semaglutide or tirzepatide), other meds like Contrave or metformin, supplements like berberine, and other lifestyle strategies