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The compound inhibits the NNMT enzyme in fat cells, which increases cellular NAD+ levels and shifts adipocyte metabolism from fat storage to fat burning

Initial treatment for B12 deficiency with neurological involvement: When elderly patients present with neurological symptoms (peripheral neuropathy, cognitive impairment, subacute combined degeneration of the cord), urgent and aggressive replacement is essential to prevent irreversible damage

Humans and higher animals acquire B12 through their diet, primarily by consuming animal products where these bacteria or their B12 metabolites are present

It is famously used in emergency medicine as an FDA-approved, life-saving antidote for acute cyanide poisoning

Customers who have received sterile compounded products subject to the voluntary recall should not use them and return the product to the pharmacy for a full refund