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nbme24/Block 4/Question#42 (39.3 difficulty score)
A 40-year-old man who recently immigrated to ...
AdenineπŸ”
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 +14 
submitted by colonelred_(100),
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’seH gpsrnteein htiw laisscc nigss of taivmni 3B decnyiceif ;cai)n(ni niinac si rudreeqi ot mrfo eht ofcrcato NDA+ niateincomd(i adeenni ).oiudtceeidln

bigjimbo  B3 Niacin deficiency = Pellegra = diarrhea, dermatitis, dementia death. = Niacin combines with adenine to become NAD+ https://www.aocd.org/page/Pellagra +9  
cbreland  Noted lack of niacin, not making NAD. Did not think about what NAD stands for, instead went down a rabbit hole +7