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Adding resistance training and adequate protein intake can further improve this ratio in favor of fat loss

A pattern of 12 weeks on, 4-6 weeks break, repeated several times, produces sustainable results without the receptor desensitization that can occur with extremely long continuous use

Initial blood tests showed normocytic anemia (Hgb 4.9, MCV 80), leukopenia (2.99), thrombocytopenia (142), and elevated liver enzymes (AST 199, ALT 96, and total bilirubin of 2.04)

Studies show that NNMT inhibition by 5-amino-1-methylquinolinium significantly reduces nicotinamide metabolism, increases NAM accumulation, improves NAD+ synthesis efficiency by over 30%, and markedly increases mitochondrial ATP production and cellular energy metabolism

Weeks 13 through 16: 30 units (0.30 mL) once per week