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Investigated for effects on NAD+ salvage pathway and mitochondrial metabolism in preclinical systems (rawamino.com) Subject of ongoing preclinical research in metabolic and oncology laboratory models Orally bioavailable small molecule

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The sixth coordination site, the reactive center, is variable, being a cyano group (CN), a hydroxyl group (OH), a methyl group (CH 3 ) or a 5-deoxyadenosyl group

However, if you have a severe deficiency or a condition that prevents proper B12 absorption, injections may be the better choice

Toxicity is extremely rare

If you experience any side effects or have questions, please call our office