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It was meant to rule out deficiency, but the result points the other direction

Lactulose levels were quantified by comparing peak areas with known lactulose standards (10 mg/L)

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[110] Animals can convert cyanocobalamin and hydroxocobalamin to the bioactive forms adenosylcobalamin and methylcobalamin by enzymatically replacing the cyano or hydroxyl groups

Journal of Pharmaceutical Sciences, 106 (7), 1814-1820

The enzyme catalyzes the methylation of nicotinamide (a form of vitamin B3) using S-adenosyl-L-methionine (SAM) as a cofactor, producing 1-methylnicotinamide (1-MNA) as a metabolic byproduct