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Description

COA / Lab results Evidence: Preclinical Pros Selective, membrane-permeable NNMT inhibitor Raises intracellular NAD+ and SAM by blocking the methylation sink Reduced weight and fat mass in diet-induced obese mice Activates sirtuin pathways associated with metabolic health Cons Evidence entirely preclinical (cell/mouse)

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In the NEJM Phase 2 trial, participants assigned to an initial dose of 4 mg experienced significantly more adverse events than those who started at 2 mg, even when both groups ultimately reached the same target dose

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