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The first step in methionine metabolism is performed by adenosine triphosphate (ATP) and methionine adenosyltransferase (MAT), an enzyme that converts methionine into S -adenosyl-methionine (SAM), the bodys main methyl donor

Specifically, the schedule now provides for the testing of homocysteine (HCY) and methylmalonic acid (MMA) levels in the context of B12 deficiency investigation

That is a reason for proper medical supervision not for dismissal or for DIY supplementation

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