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These are illustrative, not a contraindication checklist — there is no contraindication table because there is no approved indication: Pregnancy or breastfeeding — no reproductive or developmental toxicology data exists Known or suspected malignancy — NNMT is expressed in multiple cancer types, and the effect of pharmacological NNMT inhibition on tumor biology in humans is unknown Concurrent medications that affect methylation pathways, folate metabolism, or SAM-dependent enzymes — no drug interaction studies have been conducted Hepatic or renal impairment — pharmacokinetics under compromised organ function are uncharacterized Approval status and what comes next As of April 2026, 5-Amino-1MQ has not entered the FDA regulatory pathway