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It uses a methyl group donated by S-adenosylmethionine (SAM) to methylate nicotinamide a vitamin B3 form that would otherwise be recycled back into NAD+

Sequencing: For inpatient admissions, the condition established after study to be chiefly responsible for the admission should be sequenced as the principal diagnosis

Interactions with Medications Vitamin B12 has the potential to interact with certain medications, including diabetic prescriptions, metformin, proton pump inhibitors, antagonists and antibiotics