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In a further aspect of the invention, one or more chemical entities (e.g., nicotinamide riboside, nicotinamide mononucleotide) that increase intracellular NAD+ levels to provide muscular therapy is contacted with a cell expressing NNMT followed by contacting said cell expressing NNMT one or more NNMT inhibitors (such as a cation of Formula I or IA, or otherwise disclosed herein)

Structure of Human NMN Adenylyltransferase

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Some protocols allow up to 2 mL twice weekly for short-term metabolic intensification, though this should only be done with close medical monitoring

This means that high serum B12 levels can persist for some time after large supplemental doses