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NNMT is an enzyme that methylates nicotinamide (a form of vitamin B3), converting it to N1-methylnicotinamide and effectively removing it from the NAD+ salvage pathway

If your vitamin deficiency is caused by malabsorption of B12 from food , your doctor might recommend B12 shots

These patients often require B12 injections to maintain adequate levels regardless of dietary intake

If you have more than 1ml to add and your syringe is 1ml, draw and add in multiple smaller volumes

Typically, intramuscular treatment for dietary vitamin B12 deficiency begins with a loading dose followed by maintenance therapy, contrasting with the steady daily doses used in oral treatment due to limited passive absorption