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It inhibits NNMT (nicotinamide N-methyltransferase), an enzyme regulating metabolism, fat storage, and NAD+ consumption.[4][27][6] NNMT methylates nicotinamide, a NAD+ breakdown product, diverting it from recycling and reducing available NAD+

This depends on how well the body responds and what it needs

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Intravenous (IV) B12 Therapy Guidelines IV B12 therapy is a key treatment in places where taking pills isnt an option

Vitamin B12 injections are generally considered to be safe and have no major side effects