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Because SAM is also required for many other methylation reactions, including gene-expression regulation, high NNMT activity draws heavily on SAM and is associated in studies with reduced NAD, a coenzyme central to cellular energy production

As a structural analog within the copper peptide class, it has been examined alongside GHK-Cu in preclinical models investigating copper-dependent enzymatic activity, extracellular matrix remodeling, and cellular signaling pathways relevant to skin and connective tissue biology