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(Junedi et al., 2022) reported higher Hcy levels in hypertensive cases compared to controls

This results in elevated intracellular NAD+ levels, optimized mitochondrial function, and enhanced energy metabolism without affecting appetite or caloric intake

The figure shows the precursors of L-methylmalonyl-CoA: Fatty acids and amino acids can be metabolized to propionyl-CoA, which is converted to D-methylmalonyl-CoA and then to L-methylmalonyl-CoA