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NNMT catalyzes the transfer of a methyl group from S-adenosylmethionine (SAM, the universal methyl donor in cells) to nicotinamide (a form of vitamin B3 and a precursor for NAD+ synthesis), producing 1-methylnicotinamide and S-adenosylhomocysteine (SAH)

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Neurological recovery may take longerweeks to monthsand in some cases, long-standing nerve damage may be only partially reversible

Fatigue Brain fog Decreased cognitive function, such as memory issues Lethargy Constipation Heart palpitations Vision changes Difficulty maintaining balance Headaches Depression or irritability Feeling faint Sore or swollen tongue, mouth ulcers Paresthesia (pins and needles) Why Should You Consider Vitamin B12 Injections