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Description
(2001) Roles of growth hormone and insulin-like growth factor 1 in mouse postnatal growth

The primary mechanism behind 5-Amino-1MQ involves blocking the NNMT enzyme (nicotinamide N-methyltransferase)
Treating true deficiency can improve deficiency-related symptoms (including anemia-related fatigue and neurologic issues) (see the NIH ODS Vitamin B12 fact sheet )

1 2 "An Update on Intravenous Fluids"

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Until safety data exists, avoiding use during these periods is the only prudent approach
