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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+

See these diagrams: Source: Clinical Procedures for Safer Patient Care by Doyle & McCutcheon

We ensure that vitamin B12 injections are only given when medically necessary, following a thorough evaluation and diagnosis by our healthcare team

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Vegetarians and vegans lack dietary B12 sources unless they consume fortified foods