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Of note, lysine methyltransferases (KMTs) have higher Km values for SAM than protein arginine methyltransferases (PRMTs), hence the overall lysine methylation levels on H3 are easier to be reduced when SAM/SAH ratio fluctuates under the condition of cofactor competition by NNMT [55]

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For many individuals, symptoms improve over time as the body adjusts

Serious vitamin B12 deficiency may result in anemia