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First, they found that glucose production, G6pc expression, and Pck1 expression were significantly lower in NNMT -overexpressing hepatocytes with Sirt1 inhibition than in NNMT -overexpressing hepatocytes without Sirt1 inhibition and that Sirt1 overexpression rescued the suppression of G6pc expression and Pck1 expression induced by NNMT knockdown [14]

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Nonetheless, this work has identified novel findings that support future studies to determine whether microbiome changes are contingent upon the combination of both NNMTi and LD switch and mediated through direct NNMTi-driven mechanisms or through indirect mechanisms such as weight or fat loss 8,13