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It’s also a participant in hundreds of enzymatic reactions involving: 7 Cellular signaling Adenosine triphosphate (ATP) production (ATP is the primary energy source for cellular functions) DNA repair Mitochondrial function Oxidation-reduction (redox) reactions There’s a constant cycle of cells consuming and recycling NAD+, and one of the main recycling mechanisms is the NAD+ salvage pathway, which changes nicotinamide back into available NAD+