It functions by blocking an enzyme known as nicotinamide N-methyltransferase (NNMT), which is important for how the body stores fat and uses energy

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On top of this, an enzyme called carnitine palmitoyltransferase-1 (CPT-1) is freed from additional inhibition, potentially shuttling more fatty acids into mitochondria for burning rather than storage
According to registries like ClinicalTrials.gov , studies are exploring its effects on frailty in the elderly, insulin resistance in obese individuals, and physical performance
Compliance with Ethics Guidelines This article is based on previously conducted studies and does not contain any new studies with human participants or animals performed by the authors
Additionally, repeated intramuscular injections can cause muscle fibrosis or nerve damage if improper technique is employed