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Addition of a methyl group (-CH3) to the 3 position changes morphine to codeine, masks the OH group and confers greater fat-solubility to the molecule allowing it to be more preferentially absorbed

However, N-methylation at other Val or Ala sites, promoted self-aggregation or aggregation, with careful placement of the N-methyl group required to confer the desired specificity of inhibition

We present a rare case of a 22-year-old college student who presented with hyperpigmentation as the only physical manifestation of early vitamin B12 deficiency

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