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NNMT inhibition increases cellular concentrations of both substrates that the enzyme would otherwise consume: SAM (the universal methyl donor) and nicotinamide (the NAD + salvage precursor)

Moreover, muscle biopsies from older athletic participants showed improved mitochondrial respiration compared to age-matched and physically impaired participants 331

Anemias due to essential nutrient deficiencies

In short, injections may be preferred for faster correction or absorption concerns, while oral supplements are convenient for ongoing maintenance.

I will keep using this product

Other doctors may recommend these vitamin injections if the patient has a deficiency in them