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When NNMT activity is high, cellular nicotinamide is diverted away from NAD+ salvage pathways, reducing the NAD+ pool available for mitochondrial respiration, sirtuin activation, and PARP-mediated DNA repair

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doi: 10.1016/j.cell.2014.10.039

(c) DNA repair and gene expression: GHK-Cu can influence the expression of over 4,000 human genes

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The lack of adequate cobalamin in the body hinders the regeneration of tetrahydrofolate, which eventually leads to megaloblastic anemia due to the functional folate deficiency.On the other hand, the methylmalonyl-CoA mutase helps to metabolize odd chain fatty acids and branch chain amino acids.Cobalamin is also thought to keep the bodys level of sulfhydryl (SH) groups in reduced form