These compounds are naturally present in the body and are involved in the structure and function of cell membranes and nervous system tissue
It supports energy production, immune function, and overall wellness
Untreated B12 deficiency worsens over time and can cause permanent neurological damage
When Symptoms Worsen: Understanding the Adjustment Period The period following B12 injection therapy can be challenging for some patients, with symptoms sometimes temporarily intensifying before improvement becomes apparent
2020;192(16):E434
Mechanism of Action and Target Biology NNMT Enzyme and Function: Nicotinamide N-methyltransferase (NNMT) catalyzes the SAM-dependent methylation of nicotinamide: Reaction: Nicotinamide + SAM 1-methylnicotinamide (1-MNA) + S-adenosylhomocysteine (SAH) Expression: Liver, adipose tissue (particularly visceral), smooth muscle, some neurons Regulation: Increased expression in obesity, diabetes, aging, certain cancers Substrates consumed: Nicotinamide (NAD+ precursor) and SAM (methyl donor) 5-Amino-1MQ Inhibition Mechanism: Competitive inhibitor with respect to nicotinamide substrate IC: Submicromolar range for NNMT enzyme Selectivity: Minimal inhibition of other methyltransferases at relevant concentrations Result: Increased intracellular nicotinamide availability for NAD+ salvage pathway Downstream Effects of NNMT Inhibition: 1