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I downloaded a patient information leaflet for hydroxocobalamin from the internet and took it with me to my next appointment

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Both vitamins are needed for DNA synthesis and your body will not function properly if both levels are not balanced, he says

Among them, the cytosolic enzyme nicotinamide N-methyltransferase (NNMT) has been newly discovered to regulate the levels of nicotinamide precursors required for NAD+ biosynthesis, and therefore plays a crucial role in regulating the NAD+ salvage pathway and cellular metabolism