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Research indicates that reducing NNMT activity with 5-amino-1MQ alters metabolic processes, promotes changes in adipocyte function, and modulates muscle and nerve physiology

[2] However, elevated MMA is not conclusive, as it is seen in people with B 12 deficiency, but also in elderly people who have renal insufficiency, [28] and elevated homocysteine is not conclusive, as it is also seen in people with folate deficiency

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Injections are far more effective, especially for anyone with an absorption issue like pernicious anemia, Crohns disease, or a history of gastric surgery

Blood glucose monitoring, if equipment is available, can track metabolic changes