NNMT is an enzyme expressed in adipose tissue, the liver, and other tissues
This process ensures rapid delivery of the vitamin to tissues and organs
These include serum vitamin B12 levels and a complete blood count (CBC)
Methylcobalamin, vitamin B12 preparations containing benzyl alcohol should be avoided in premature neonates because benzyl alcohol has been associated with gasping syndrome, a potentially fatal condition characterized by metabolic acidosis and CNS, respiratory, circulatory, and renal dysfunction
This finding has obvious relevance for athletes and anyone engaged in regular resistance training
To put it in context, nicotinamide has shown signs of liver toxicity only at doses around 3,000 mg per day or higher