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Only two forms of B12 are active as a coenzyme in the body: Methylcobalamin and adenosylcobalamin are the active coenzyme forms of B12

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Small molecule NNMT inhibitors have been developed and tested in animals, including tricyclic compounds aimed at metabolic disease (the Scientific Reports paper describing novel tricyclic small molecule inhibitors of nicotinamide N-methyltransferase for metabolic disease), and NNMT inhibition has been combined with calorie restriction in diet induced obese mice (the study of a reduced calorie diet combined with NNMT inhibition establishing a distinct microbiome in diet induced obese mice)

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