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NNMT depletes cells of NAD+, a crucial coenzyme required for mitochondrial function and energy production

In obesity, abnormal adipose metabolism transports large amounts of free fatty acids to the liver, increasing hepatic fat synthesis, decreasing fat breakdown, and ultimately causing hepatic steatosis

This can also affect vitamin B12 absorption

Here are a few risk factors that may interfere with absorption: Limited sun exposure: Those living in northern climates or overcast environments, or limited time outside during the day

It is important to refrigerate or freeze these peptides after reconstitution to maintain their efficacy over time

However, treatment decisions should always be individualized and medically supervised