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(Figure 1 illustrates NNMT utilizing SAM as a methyl donor to methylate NAM, yielding MNAM and SAH

Because of the intense physical pressure applied by caregivers, this practice is risky and has even led to fatalities [14]

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Inherited disorders of vitamin B 12 absorption Rare cases of inborn errors of vitamin B 12 metabolism have been reported in the literature (reviewed in 6)