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Description
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This is where Lyme becomes debilitating and difficult to diagnose

5-amino-1MQ acts as an inhibitor of an enzyme called NNMT that degrades a nicotinamide adenine dinucleotide (NAD+) precursor called nicotinamide, which is also a precursor of nicotinamide mononucleotide (NMN)

I felt itching and a red splotch at the site

doi: 10.1016/j.abb.2016.06.001
