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Kim J, Guermah M, McGinty RK, et al

Dizziness or lightheadedness may occur in some patients after the injection, possibly related to an autonomic nervous system response or mild hypotension following the dose

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SAM acts primarily as a universal methyl donor in the synthesis of methylated compounds such as neurotransmitters (adrenaline, noradrenaline), DNA, RNA, phosphatidylcholine and creatine ( Reference Brosnan, da Silva and Brosnan 14 )