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Last reviewed: June 4, 2026 Last updated: June 4, 2026 Written by: Jay Hastings, CEO of PlexusDx Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations

NNMT inhibitors may be used with one or more chemical entities (e.g., nicotinamide riboside, nicotinamide mononucleotide) that increase intracellular NAD+ levels, to produce synergistic or additive effects to provide muscular therapy

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Many patients report reduced pain intensity, fewer attacks, improved quality of life when working with a skilled practitioner on a combined treatment plan

This section traces its origins from the 1920s, highlights pivotal milestones through 2025, and explores ongoing research directions, drawing on primary sources, historical records, and the latest 2025 data as of September 10, 2025