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Serum B12, and potentially methylmalonic acid (MMA) and homocysteine, give your clinician the data to determine whether B12 is a contributing factor or whether the mood symptoms are being driven by something else entirely

NNMT plays a pivotal role in regulating cellular metabolism

Larger, longer clinical trials are needed to confirm long term effects

Risks While B12 injections are generally considered safe, especially when administered under medical supervision, there are some potential risks and side effects to be aware of: Pain, Redness, or Swelling at the Injection Site: This is the most common side effect and is usually mild and temporary

In the 2021 Nature Metabolism study, mice treated with 5-Amino-1MQ showed 35% reduction in white adipose tissue mass without caloric restriction, alongside improved insulin sensitivity and reduced hepatic steatosis