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Cleveland Clinic Vitamin B12 Deficiency 7

This is the compound's most clinically robust finding

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Hence, it looks like a head weaving stereotypy from a top view, but the tongue protrusions could be seen from a bottom view videotape

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NNMT (Nicotinamide N-Methyltransferase) is a cytosolic enzyme that catalyses the transfer of a methyl group from S-adenosyl-L-methionine (SAM) to nicotinamide producing 1-methylnicotinamide (1-MNA) and S-adenosyl-homocysteine (SAH) as reaction products