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This is the inactive form of vitamin B12 that requires the body to expend more energy to convert and remove a cyanide molecule than other forms of B12

Vitamin B12 shots are only available by prescription following a clinical diagnosis of low levels

Cognitive benefits are primarily documented in deficient individuals

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Studies have examined NNMT inhibition in relation to cellular methylation balance, NAD metabolism, and broader metabolic signaling pathways

Common side effects include injection site reactions (pain, redness, swelling), flushing and warmth particularly with IV administration, nausea, headache, and occasionally fatigue or restlessness