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The injection site may cause minor soreness or mild allergic reactions in some people

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determined the kinetic parameters of NNMT-catalyzed NAM methylation reaction by using a UHP-HILIC-MS (ultra-high-performance hydrophilic interaction liquid chromatographymass spectrometry) method, in which Km values for NAM and SAM were determined as 200 and 8.5 M, respectively [15]

You can ask your doctor to do a blood test if you're worried you may have a vitamin B12 deficiency.