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NNMT is an enzyme that catalyzes the transfer of a methyl group from S-adenosylmethionine (SAM) to nicotinamide (NAM), producing 1-methylnicotinamide (MNA) and S-adenosylhomocysteine (SAH)
Injectable hair protocol: 12 mg daily or 5 days/week , minimum 1624 weeks , cycle 8 weeks on / 4 weeks off Topical scalp protocol: 0.5 % solution , 12 ml twice daily to thinning areas, 6 months before meaningful assessment Enhanced hair protocol: GHK-Cu topical + 0.5 mm derma-roll 12/week + minoxidil + finasteride (where appropriate) - the full "big-3 + peptide" stack we routinely prescribe alongside FUE hair transplant in Mumbai 3
For pernicious anemia, you may have to use Vitamin B12 injection for the rest of your life
For most people, yes, when it is medically appropriate and supervised
