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By inhibiting NNMT, 5-Amino-1MQ prevents the methylation of nicotinamide, which thus remains available for recycling to NAD+ via the salvage pathway

Intranasal treatment (via a nasal spray) of B12 is also available through a prescription (Andrs, 2018)

[30] B 12s is one of the most nucleophilic species known in aqueous solution

Also, it acts as a lipotropic agent to prevent fat build up in the liver and body

You could be spending good money on something that wont fix the problem

[1] [2] These medications work by mimicking the action of naturally occurring incretin hormones that the body produces in response to food intake