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The reaction begins when methionine synthase takes a methyl group from active folate (5-methyltetrahydrofolate) and uses methylcobalamin to transfer that methyl group to a naturally occurring amino acid called homocysteine

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Sometimes, if a person ingests a tapeworm in contaminated fish, the tapeworm can sap nutrients, including vitamin B12 and folic acid, leading to a vitamin deficiency anemia

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