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A confirmed, untreated B12 deficiency can contribute to nerve symptoms and anemia over time, and for older adults the balance problems that severe deficiency can cause may raise the risk of falls

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In another aspect of the invention, one or more NNMT inhibitors (such as a cation of Formula I or IA, or otherwise disclosed herein) is contacted with a cell expressing NNMT followed by contacting said cell expressing NNMT with one or more chemical entities (e.g., nicotinamide riboside, nicotinamide mononucleotide) that increase intracellular NAD+ levels to provide muscular therapy