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Seek prompt medical care for severe or persistent abdominal pain, repeated vomiting, signs of dehydration, difficulty breathing, facial or throat swelling, fainting, confusion, chest pain, or rapidly worsening symptoms

NNMT is a cytosolic S-adenosyl-L-methionine-dependent methyltransferase that converts nicotinamide to 1-methylnicotinamide, spending SAM and diverting nicotinamide away from the NAD+ salvage pathway

Treatment recommendations are based on clinical evaluation, laboratory findings when appropriate, and open discussion of your goals