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We usually test before starting treatment, then after 1-3 months

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As the NHS explains, you should see a GP if you're experiencing symptoms of vitamin B12 because these conditions can often be diagnosed based on your symptoms and the results of a blood test

NNMT Inhibition & NAD-Related Pathways 5-Amino-1MQ is widely researched for its interaction with nicotinamide N-methyltransferase (NNMT), an enzyme involved in nicotinamide metabolism and NAD-related cellular pathways

While there is some uncertainty, consult a health professional for suitability and safety
