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To maintain a diet that is rich in vitamin B12, it is important to eat foods that are high in vitamin B12
Two downstream consequences are mechanistically central: nicotinamide is preserved for re-entry into the NAD+ salvage pathway (raising intracellular NAD+ availability), and SAM is preserved for other methylation reactions
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However, they may need to be adapted to suit the specific context of each countrys healthcare system and resources
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