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It works by blocking the NNMT enzyme in fat cells and other tissues, which prevents the conversion of nicotinamide to 1-methylnicotinamide

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Sublingual methylcobalamin tablets at 2500-5000 micrograms daily work for patients with mild absorption issues

They are also commonly used to boost energy, enhance metabolism, and support nervous system health

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These risks are exactly why an intramuscular injection is safer given by a trained clinician than self-administered at home