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Side effects are rare and usually mild (slight injection-site soreness)
It is given to anyone with a specific vitamin deficiency
The rules take forever, the paperwork lags, and FDA just does what theyve done before: enforcement discretion while the process works itself out
References References Selective and membranepermeable small molecule inhibitors of NNMT Roles of Nicotinamide NMethyltransferase in Obesity and Type 2 Diabetes Nicotinamide Nmethyltransferase inhibition mimics and boosts exercisemediated improvements in muscle function in aged mice Reduced calorie diet combined with NNMT inhibition establishes a healthier gut microbiome in obese mice Kraus et al
