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The total annual cost for cohort 1 was $482,449 for the ODB vitamin B12 prescription claims and $2.1 million for the intramuscular injection claims (Table 2)

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While 5-Amino-1MQ itself has not been extensively characterized in human neurocognitive contexts, its interaction with NNMT and effects on NAD pathways have generated interest in: Brain energy homeostasis and mitochondrial support in preclinical models Neuromuscular junction signaling and synaptic transmission How altered NAD metabolism may relate to age-related cognitive decline in experimental systems Current research in this area remains exploratory, and 5-Amino-1MQ is used strictly as an investigative tool within laboratory models