Only testing can tell you the answer, but a daily B12 injection schedule should be your starting point
Vitamin B12 is also known as cobalamin
By blocking NNMT, 5-Amino-1MQ drives several metabolic benefits: Boosts NAD Levels Inhibiting NNMT preserves more nicotinamide for NAD synthesis, leading to enhanced mitochondrial function, increased cellular energy output, and activation of sirtuins , the proteins involved in longevity and DNA repair
A deficiency in vitamin B12 can cause fatigue, headaches, indigestion, problems with your vision, increased risk of obesity, and cognitive difficulties
They keep an eye on how the patient is doing and adjust the dose as needed
On paper the two are complementary rather than redundant one stops a leak, the other adds water to the tank