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5-amino-1MQ acts as an inhibitor of an enzyme called NNMT that degrades a nicotinamide adenine dinucleotide (NAD+) precursor called nicotinamide, which is also a precursor of nicotinamide mononucleotide (NMN)

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Im worried that when I get my next shot in a few weeks (my endo who is treating me for Hashimotos has requested monthly b12) that its going to get worse