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Description
High NNMT expression is closely associated with glucose dysregulation: excessive NNMT activation disrupts nicotinamide metabolism, lowers NAD+ levels, impairs insulin signaling, reduces cellular glucose uptake and utilization, and promotes hyperglycemia and insulin resistance
The bacteriostatic water preservative prevents bacterial growth but does not prevent peptide degradation over time

doi: 10.1152/ajpendo.2006.263.6.E1063

It remains one of the most cited trials showing how carefully selected patients can achieve long-term relief
