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Why this happens Both folic acid and vitamin B12 are needed to make red blood cells

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It's a water-soluble vitamin your body needs to produce energy, build red blood cells, and keep your nervous system firing correctly

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At high pharmacological doses (used historically to lower cholesterol), niacin also affects lipid metabolism, as described in a clinical study

Importantly, CD38 is also expressed on cells of the innate immune system, including natural killer (NK) cells, and on cells outside of immunologic networks such as red blood cells (RBCs) and platelets [1, 4,5,6, 11]