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Description
When NNMT is overactive, it consumes S-adenosylmethionine (SAM) and reduces levels of nicotinamide adenine dinucleotide (NAD+), a critical coenzyme involved in cellular energy production

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Most Common B12/MIC Side Effects Pain or redness at the injection site Itching or a feeling of swelling all over the body Muscle cramps & weakness Upset stomach & urinary problems Swelling in the ankles or feet Unusual tiredness If irritation continues to occur, apply an over-the-counter itch cream, preferably with hydrocortisone, or discontinue use entirely

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Standardized symptom assessment tools and clinical algorithms enhance consistency in evaluation and facilitate timely referral to specialists
