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This enzymatic process results in the depletion of NAM, a precursor of nicotinamide adenine dinucleotide (NAD + ), and the generation of SAH, a precursor of homocysteine (Hcy)

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However, the common signs of the deficiency (such as anemia) may not always be obvious, but this doesnt mean that evaluation and treatment can be overlooked

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Vision changes, severe headaches, or confusion may signal other serious reactions