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Description
It functions by blocking an enzyme known as nicotinamide N-methyltransferase (NNMT), which is important for how the body stores fat and uses energy

How it works Methotrexate belongs to a class of drugs called antimetabolites, or folic acid antagonists

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However, after careful evaluation, the symptoms were ultimately linked to a combination of vitamin B12 deficiency and fibromyalgia, both of which can explain her presentation without the need for more invasive investigations

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