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This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)

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NNMT is an enzyme that influences methylation processes and is involved in the regulation of nicotinamide and S-adenosylmethionine (SAM) pools

Vitamin injections are an efficient way to administer essential vitamins, such as Vitamin C, B12, and others, that are important in immune function