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When NNMT is overactive, it consumes S-adenosylmethionine (SAM) and reduces levels of nicotinamide adenine dinucleotide (NAD+), a critical coenzyme involved in cellular energy production

This approach has theoretical merit

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61:104-108 Masayuki Ikeda, Makoto Asai, Takahiro Moriya, Masami Sagara, Shojiro Inou, Shigenobu Shibata, Methylcobalamin amplifies melatonin-induced circadian phase shifts by facilitation of melatonin synthesis in the rat pineal gland, Brain Research, Volume 795, Issues 12, 8 June 1998, Pages 98-104, ISSN 0006-8993, Carmen Wheatley Cobalamin in inflammation III glutathionylcobalamin and methylcobalamin/adenosylcobalamin coenzymes: the sword in the stone