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Description
In obesity and metabolic dysfunction, NNMT is often overexpressed in adipose tissue, depleting nicotinamide and lowering NAD+ availability [2]

Nahvi, A., Barrick, J

Renal function may be monitored, particularly if patients experience significant gastrointestinal adverse effects that could lead to dehydration
It is not intended to be a substitute for professional medical advice, diagnosis, or treatment

If supplementing is the next step for you, you need to consider which form of B12 is the right choice for your symptom picture
