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An MRI demonstrated a 4 cm enhancing lesion in the right carotid space, similarly suspicious for carotid body tumor and, less likely, schwannoma or pathologic lymph node (Figure 1)

By inhibiting NNMT, 5-Amino-1MQ is theorized to spare nicotinamide for NAD+ synthesis , raising intracellular NAD+ and activating SIRT1 (Sirtuin 1) pathways tied to mitochondrial biogenesis and fat oxidation [3]

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