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Sources MOSLEY J

The process works through several key steps: Folate converts to 5-methyltetrahydrofolate (5-methylTHF), which circulates in blood This form donates methyl groups necessary for DNA methylation After transferring methyl groups, SAM becomes S-adenosylhomocysteine (SAH) Much of American men over age 60 take dietary supplements containing folic acid [20]

Direct answer: The prescribing clinician can begin the evaluation and may involve a gastroenterologist, emergency physician, endocrinologist, or surgeon based on the symptoms

There are several foods rich in both B12 and B6 that can be easily incorporated into your diet

If you and your gastroenterologist decide to move forward, a few strategies can help reduce the risk: Start low and go slow