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a NNMT inhibitor such as a cation of Formula I or IA, or otherwise disclosed herein chemical entities e.g., nicotinamide riboside, nicotinamide mononucleotide the invention encompasses a method of providing muscular therapy by contacting a cell expressing NNMT with a NNMT inhibitor (such as a cation of Formula I or IA, or otherwise disclosed herein) and one or more chemical entities (e.g., nicotinamide riboside, nicotinamide mononucleotide) that increases intracellular NAD+ levels to provide muscular therapy

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Journal of Chemistry, 2019 (1), 5264943

For those diagnosed with a true deficiency , injections might be needed weekly or monthly until levels are normalised, GP surgeries would typically schedule B12 injectsions every 12 weeks thereafter