For diagnosed deficiency, weekly for 6 to 8 weeks, then biweekly, then monthly maintenance based on follow-up labs
Rotate sites between injections to avoid lipohypertrophy
Commonly reported minor adverse effects include nausea, headache, somnolence (drowsiness), and mild paresthesia (tingling or numbness) in the extremities
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Sources: Hong S, Moreno-Navarrete JM, Wei X, et al
Blocks NNMT in fat cells In 3T3-L1 mouse fat cells, 30 M of 5-Amino-1MQ for 24 hours strongly lowered 1-MNA levels direct proof of NNMT inhibition (Neelakantan et al., Biochemical Pharmacology, 2018)