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Description
The surgical alterations permanently compromise b12 absorption through multiple mechanisms

excess is renally excreted, though very high levels can cause dermatologic or metabolic effects

(ML and CC are equivalent measurements) 6

its activity is diminished in cellular assays owing to its swift degradation to adenosine and Hcy by SAH hydrolase ( Streptomyces , serves as a SAM-mimicking methyltransferase inhibitor
