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So, it may take several years for the anemia to develop after absorption of the vitamin has stopped

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NAD + homeostasis The NAD + molecule is composed of a pyridine, derived from NAD + precursors such as tryptophan (Trp) or nicotinamide (NAM) 20 , a purine, and a 5-phospho-d-ribosyl-1,-disphosphate (PRPP) component 21

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