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It acts as a selective inhibitor of nicotinamide N-methyltransferase (NNMT), an enzyme expressed in multiple tissues including adipose tissue and the liver that plays a role in cellular energy metabolism and fat storage

### Get tested If your healthcare provider suspects a vitamin B12 deficiency, theyll likely suggest a blood test to examine: - Your levels of B12 and other essential nutrients - Common markers for vitamin deficiencies - Your complete blood count (CBC) If you decide to proceed with testing, you can make an in-person appointment with a nearby testing facility

Patients with a prescription can access this peptide from pharmacies or special clinics

If a patients CBC shows anemia that wont go away, we might need to change their vitamin B12 dose or find other causes