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NNMT (nicotinamide N-methyltransferase) is an enzyme that methylates nicotinamide, draining methyl donors and reducing NAD+ salvage

Its relevance comes not from an established clinical role, but from the way it has been reported to influence selected cellular processes commonly activated during tissue stress, injury-response signaling, and experimental repair models

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BPC-157 has been shown to increase growth hormone receptor expression in tendon cells thereby boosting repair