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NNMT normally methylates nicotinamide using S-adenosylmethionine (SAM) as a methyl donor, producing 1-methylnicotinamide and S-adenosylhomocysteine

However, high-dose oral therapy (1,0002,000 g daily) may be effective in some cases through passive diffusion, with appropriate monitoring

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Prescription items are NON-RETURNABLE and NON-REFUNDABLE

Unfortunately, vitamin B12 deficiency during infancy results in severe, permanent neurological damage

Injections bypass the damaged area and deliver B12 into the bloodstream