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Find the Cause Your treatment plan depends on why you lack B12

This is especially important when traveling or going out on hot summer days, as heat can quickly compromise the integrity of your injections

Obtain a new, unexpired supply of medication and resume treatment with the fresh supply as advised by your doctor

Based on preclinical (animal and cellular) data only, inhibition of NNMT by 5-Amino-1MQ is theorised to: Raise intracellular NAD+ levels Activate SIRT1 and other sirtuins (proteins linked to metabolic regulation) Reduce fat cell (adipocyte) size and proliferation Improve insulin sensitivity These effects have been demonstrated in mouse models (Neelakantan et al., 2019), but robust human clinical trial data are currently absent