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The aim of this study is to assess the impact of combining NMR with a prior BTX-A injection (NMR/BTX-A) on facial synkinesis in individuals with chronic FNP on the Sunnybrook Facial Grading System

This inhibition preserves cellular NAD+ levels by reducing their consumption, simultaneously increasing GLUT4 transporter expression and activating sirtuin 1, known as the "longevity gene." The compound exhibits high membrane permeability and selectivity without affecting related methyltransferases or NAD+ salvage pathway enzymes, creating targeted metabolic effects while maintaining cellular safety

Youll then inject 100 mcg to 200 mcg (0.1 mL to 0.2 mL) once a month