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5-amino-1MQ works by inhibiting an enzyme called NNMT, which is overexpressed in fat tissue and contributes to fat storage by depleting cellular NAD+ levels

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doi:10.1016/j.ejphar.2015.03.011 Rossini M, Di Munno O, Valentini G, Bianchi G, Biasi G, Cacace E, Malesci D, La Montagna G, Viapiana O, Adami S (2007) Double-blind, multicenter trial comparing acetyl l-carnitine with placebo in the treatment of fibromyalgia patients

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