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It's not just poor circulation it could be B12-related nerve issues

Concern Over Niacin March 17, 2013 Autism and Folic Acid Supplements February 17, 2013 Higher Vitamin Level May Slow Cognitive Decline December 16, 2012 40% of the people in the study fell into the lower B-12 group, many of whom had levels which would not normally define them as deficient in B-12

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The compound is a small-molecule quaternary quinolinium salt referenced in the published literature as a selective inhibitor of nicotinamide N-methyltransferase (NNMT), studied in preclinical enzymology and cell-based assay systems
