Increased NO activity can promote wakefulness and alertness in the short term (PubMed)
This report is factual and conclusive

Tesamorelin Reconstitution Vial Size, BAC Water, and Dose Volumes Vial Size 2 mg BAC Water 0.5 mL Concentration 4,000 mcg/mL 1 mg Dose 0.25 mL (25 units) 1.4 mg Dose 0.35 mL (35 units) 2 mg Dose 0.50 mL (50 units, full vial) Vial Size 2 mg BAC Water 1.0 mL Concentration 2,000 mcg/mL 1 mg Dose 0.50 mL (50 units) 1.4 mg Dose 0.70 mL (70 units) 2 mg Dose 1.0 mL (100 units, full vial) Vial Size 5 mg BAC Water 1.0 mL Concentration 5,000 mcg/mL 1 mg Dose 0.20 mL (20 units) 1.4 mg Dose 0.28 mL (28 units) 2 mg Dose 0.40 mL (40 units) Vial Size 5 mg BAC Water 2.5 mL Concentration 2,000 mcg/mL 1 mg Dose 0.50 mL (50 units) 1.4 mg Dose 0.70 mL (70 units) 2 mg Dose 1.0 mL (100 units) Vial Size 10 mg BAC Water 2.0 mL Concentration 5,000 mcg/mL 1 mg Dose 0.20 mL (20 units) 1.4 mg Dose 0.28 mL (28 units) 2 mg Dose 0.40 mL (40 units) Vial Size 10 mg BAC Water 5.0 mL Concentration 2,000 mcg/mL 1 mg Dose 0.50 mL (50 units) 1.4 mg Dose 0.70 mL (70 units) 2 mg Dose 1.0 mL (100 units) U-100 insulin syringes have 100 units = 1.0 mL

According to the Centers for Disease Control and Prevention (CDC), individuals in recovery should use acetaminophen under medical supervision to prevent overdose and avoid unintentional liver toxicity, especially if they have a history of substance use
Small molecule inhibitors of nicotinamide N-methyltransferase (NNMT). Journal of Medicinal Chemistry, 59(19), 90399056