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As a product of the NNMT enzymatic reaction, MNA is a natural inhibitor of NNMT

Our urology team prioritizes privacy, empathy, and open communication while creating a treatment plan tailored to each patients goals

Keremi B, Lohinai Z, Komora P, Duhaj S, Borsi K, Jobbagy-Ovari G, et al

Biol Psychiatry 81: 848861

The answer is because if the reason they are deficient is that they cannot absorb B12 from diet , then giving them supplements that need absorbing in the gut is not going to work well

It can cause permanent neurological changes or fatigue
