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5-Amino-1MQ does not burn anything. It inhibits an enzyme. NNMT (nicotinamide N-methyltransferase) consumes NAD+ and drives fat cell formation. In metabolically dysfunctional adipose tissue, NNMT expression runs high, depleting NAD+ and blunting

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The ASMBS guidelines therefore recommend protocolised long-term monitoring and supplementation across all bariatric procedures