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no significant effects on growth or puberty have been seen in studies, although theoretically long-term effects are still being researched

It is involved as 5-methyl tetrahydrofolate methionine in the methylation process where the methyl group is transferred to homocysteine to form methionine in the presence of methionine synthase enzyme

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Mitochondrial NAD + is utilized in essential reactions such as TCA, fatty acid oxidation, and Oxphos 4