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5-Amino-1MQ is a synthetic small-molecule compound classified as an NNMT (nicotinamide N-methyltransferase) inhibitor

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Serious reactions, like allergic reactions, are generally rare but can occur with vitamin B12 injections (Amin, 2021)

Comparing H2 Blockers to PPIs in B12 Depletion H2 receptor antagonists and proton pump inhibitors (PPIs) both reduce stomach acid

Prolonged or severe vitamin B12 deficiency may therefore cause permanent brain or nerve damage