NNMT is an enzyme that catalyzes the transfer of a methyl group from S-adenosylmethionine (SAM) to nicotinamide (NAM), producing 1-methylnicotinamide (MNA) and S-adenosylhomocysteine (SAH)
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Your doctor may: Monitor serum B12 levels Evaluate homocysteine and methylmalonic acid (MMA) Check complete blood count (CBC) Assess for symptom improvement (fatigue, cognitive clarity, neuropathy) Symptoms like improved energy, mood, and focus typically appear within days to weeks
If you are vegan or have conditions affecting absorption, consult a clinician or dietitian to determine suitable B12 sources
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