I am a medical professional, retired due to ill health but it honestly beggars belief that she's getting away with this
Cohen P, Germak J, Rogol AD, Weng W, Kappelgaard AM, Rosenfeld RG
[46] [47] [48] Other analytical methods including mass spectrometry and NMR have also been applied, [18] and they are in particularly useful for the study of the coupling ratio between 2OG oxidation and substrate formation, and for the characterisation of unknown enzymatic products
This is especially important for compounded or injectable preparations
Epigenetic and Cellular Reprogramming: By blocking NNMT-mediated methylation of nicotinamide, preserves NAD salvage pathway activity, increases SIRT-1 signaling, reduces histone deacetylation, and promotes metabolic reprogramming toward oxidative phosphorylation and glycolysis balance, supporting tissue repair and energy homeostasis 1-4