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Six controlled trials in approximately 900 participants are summarized in Stier et al
Systemic side effects may occur in some individuals
Its molecular target is nicotinamide N-methyltransferase (NNMT), a cytosolic S-adenosyl-L-methionine-dependent methyltransferase that converts nicotinamide to 1-methylnicotinamide, consuming SAM and releasing S-adenosylhomocysteine
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