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Description
"Associations of proinflammatory cytokines with the risk of recurrent stroke"

NNMT is highly expressed in adipose tissue and aging muscle

What Research Says: A NIH published clinical review confirmed that intramuscular Methylcobalamin injections showed significantly faster neurological recovery in patients with severe deficiency compared to oral supplementation

This is the number one reason injection site rotation matters
If switching the route of administration and dosage don't help, you may also have like a substrate issue
