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These reactions are common with any subcutaneous injection and are not specific to penta deca peptide arginate
NNMT consumes the methyl donor SAM to methylate nicotinamide into 1-methylnicotinamide, diverting nicotinamide away from the NAD salvage pathway
There just needs to be at least a 72-hour gap between doses
Injections bypass the gut, and for these patients treatment is often a long-term maintenance strategy guided by their provider
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