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Serum transcobalamin and transcobalamin levels in systemic lupus erythematosus

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Metabolic Rewiring: By stopping the conversion of nicotinamide (NAM) into 1-methylnicotinamide (1-MNA), the cell is forced to recycle NAM into NAD+

A rare complication of this deficiency is optic neuropathy which results in progressive, bilateral, painless vision loss