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Homocysteine is formed when SAMe, an important methyl donor, gives its methyl group to one of the following enzymes: GAMT to make creatine PEMT to make phospholipids COMT to metabolize estrogen HNMT to eliminate histamine PNMT to make epinephrine/adrenalin ASMT to make melatonin Because of this methyl group donation, SAMe becomes SAH

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Takagi T., Naito Y., Mizushima K., Hirai Y., Harusato A., Okayama T., Katada K., Kamada K., Uchiyama K., Handa O., Ishikawa T., Itoh Y., J Clin Biochem Nutr 2018, 63, 169

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