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a NNMT inhibitor such as a cation of Formula I or IA, or otherwise disclosed herein chemical entities e.g., nicotinamide riboside, nicotinamide mononucleotide the invention encompasses a method of providing muscular therapy by contacting a cell expressing NNMT with a NNMT inhibitor (such as a cation of Formula I or IA, or otherwise disclosed herein) and one or more chemical entities (e.g., nicotinamide riboside, nicotinamide mononucleotide) that increases intracellular NAD+ levels to provide muscular therapy

Injecting twice a day keeps the levels more stable throughout the day

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This is different than a TENS and often used in combination with other therapies

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