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NMNH is dephosphorylated into NRH to be transported into the cell through equilibrative nucleoside transporters (ENTs) 35 , where it is phosphorylated back into NMNH by adenosine kinase (AK) 36

Preferred subcutaneous sites include the abdomen and the outer upper arms, providing straightforward access for individuals administering their own injections: Abdomen: Injections are given at least two inches away from the navel, allowing for a broad area of fat tissue