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High expression of NNMT can alter cellular NAM and SAM levels, which in turn, affects nicotinamide adenine dinucleotide (NAD + )-dependent redox reactions and signaling pathways, and remodels cellular epigenetic states

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Potential Side Effects and Considerations While vitamin B12 injections are generally safe, some people may experience mild side effects, such as soreness at the injection site or a slight rash