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In another aspect of the invention, one or more NNMT inhibitors (such as a cation of Formula I or IA, or otherwise disclosed herein) is contacted with a cell expressing NNMT followed by contacting said cell expressing NNMT with one or more chemical entities (e.g., nicotinamide riboside, nicotinamide mononucleotide) that modulate intracellular NAD+ levels to provide muscular therapy

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74 In another study, ATP levels were lower, pyruvate levels were higher (indicating reduced mitochondrial uptake for conversion into energy), and blood flow was reduced in some back muscles of fibromyalgia patients