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18 Prevention Because of potential interactions from prolonged medication use, physicians should consider screening patients for vitamin B 12 deficiency if they have been taking proton pump inhibitors or H 2 blockers for more than 12 months, or metformin for more than four months

J Clin Invest 2004;113:756-63.ArticlePubMedPMC 92

These peptides enhance each other without competition

Cruz et al., 2021)

However, it appears alongside peptides in the metabolic research space because its mechanism NNMT inhibition that preserves NAD+ and SAM pools intersects directly with the same cellular energy and epigenetic pathways that metabolic peptides target