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The most frequently reported side effects include nausea, vomiting, diarrhea, constipation, headache, and dizziness
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Been using their b12 for about 5 years now
5-amino-1-methylquinolinium, commonly known as 5 Amino 1 MQ, is a drug that inhibits the enzyme called nicotinamide N-methyltransferase (NNMT)
A Japanese clinical review showed significant electrophysiological improvement in neuropathy patients treated with methylcobalamin (Tokuda et al., 2018)