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Hydroxocobalamin is the preferred agent in this patient population (see separate monograph in Less Common Drugs)
Various types of supplements are also available depending on your preferences, including oral capsules, nasal sprays, and liquid drops
5-Amino-1MQ is a small-molecule competitive inhibitor of nicotinamide N-methyltransferase (NNMT), an enzyme that catalyzes the methylation of nicotinamide using S-adenosyl methionine (SAM)
Avoid intense exercise, alcohol consumption, or additional supplements/ treatments for at least 24 hours unless advised otherwise
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