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[33] Historically, the physiological form was initially thought to be cyanocobalamin

This preserves nicotinamide for NAD production, improving energy and fat-burning efficiency

It is a co-factor for methionine synthase, an enzyme involved in the methylation cycle, which is crucial for the metabolism of amino acids and the production of neurotransmitters

She worked as an attending physician in Atlanta as well as Chicago, before relocating to Houston in 2011

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