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Published preclinical studies use it as a chemical tool to investigate NNMT activity, nicotinamide metabolism, cellular methyl-donor balance, NAD-related pathways, and adipocyte biology in cell and animal models

As Imperial College Londons Ivan Koychev noted: People exposed to GLP-1RAs over many years appear to have a lower risk of ever developing dementia, which suggests an influence on the earliest pathogenic processes rather than on established neurodegeneration. 2

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These factors can lead to low B12 levels, causing symptoms such as fatigue, memory problems, and neuropathy (tingling in the hands and feet)