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There is no evidence from long-term use in patients with pernicious anemia that cyanocobalamin is carcinogenic

Nature Chemical Biology 9(5):300-306

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Cellular NAD+ Salvage Pathways: Examining changes in intracellular Nicotinamide Adenine Dinucleotide (NAD+) pools resulting from decreased NNMT activity, and its subsequent impact on sirtuin activity and mitochondrial bioenergetics