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Importantly, improved muSC activity translated not only to larger myofibers after injury but also to greater contractile function, with the peak torque of the [tibalis anterior] increased by 70% in NNMTi-treated mice compared to controls Readers of Living a Fully Optimized Life already know that this principle is critical to working your muscles to their fullest extent and by extension developing your physique to its maximum capacity

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The most reliable patient-reported benefit is resolution of B12-deficiency fatigue within 48-72 hours

This is followed by maintenance injections of 1mg every 2-3 months (or every 2 months with neurological involvement)

While these combinations are available through compounders, they differ fundamentally from FDA-approved products in manufacturing standards, quality control, and regulatory oversight