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The route problem, which is this compound's central issue: 5-Amino-1MQ is sold and taken almost entirely as oral capsules, and the 2024 pharmacokinetic work found oral bioavailability in mice of just 3.5%, with an oral peak concentration of 14.5 ng/mL against a mouse NNMT IC50 of 78 ng/mL

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They stress the importance of discussing vitamin B12 testing and treatment with a healthcare professional, especially since many patients may not receive the appropriate evaluations before starting therapy