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This small molecule peptide functions as a selective nicotinamide N-methyltransferase (NNMT) inhibitor, targeting cellular metabolism at its source

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This inhibition preserves nicotinamide availability for the NAD+ salvage pathway, the primary route for NAD+ regeneration in mammalian cells

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Diagnosis typically involves B12 level testing, intrinsic factor antibody tests, and sometimes specialized absorption studies like the Schilling test

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