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Because the target is an enzyme and the intended effect is a gradual shift in cellular NAD+ handling, the research framing does not treat 5-Amino-1MQ as a pulse-and-recover compound the way a growth-hormone secretagogue is treated
Patients should be offered this alternative after an informed discussion on the advantages and disadvantages of both treatment options. oral vitamin B12 is an effective alternative to vitamin B12 IM injections Cochrane Review
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