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Clinical Chemistry 2007

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5-Amino-1MQ is a small molecule inhibitor of nicotinamide N-methyltransferase, an enzyme highly expressed in adipose tissue that regulates NAD+ metabolism and cellular energy balance

Many foods are fortified with artificial vitamin B12, such as non-dairy milks and cereals, but these are not always optimally absorbed, so vegans must still be proactive about making sure they are not becoming deficient