Nutrition: Niacin and Folate Quiz
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Questions and Answers

What are the two coenzymes for which niacin functions as a component?

  • NAD+ and NADP+
  • NAD and ATP
  • NADH and NADPH
  • NAD and NADP (correct)

What is one of the primary clinical symptoms of niacin deficiency known as pellagra?

  • Anemia
  • Fatigue
  • Dermatitis (correct)
  • Headaches

Which of the following best describes the dietary source of niacin found in corn?

  • Well absorbed without modification
  • Fortified with calcium to enhance bioavailability
  • Only present in animal products
  • Bound to other molecules and poorly absorbed (correct)

What is a potential effect of taking 75 mg or more of nicotinic acid?

<p>Flushed skin from vasodilation (C)</p> Signup and view all the answers

Which of the following nutrients co-deficient with niacin can contribute to the development of pellagra?

<p>Riboflavin (A), Thiamin (C)</p> Signup and view all the answers

What can be a side effect of megadosing niacin?

<p>Irregular heartbeat (A)</p> Signup and view all the answers

What is the recommended dietary allowance (RDA) of folate for adults?

<p>400 µg/day (C)</p> Signup and view all the answers

What cooking process can improve the bioavailability of niacin in corn?

<p>Treatment with lime water (B)</p> Signup and view all the answers

Which population is recommended to consume the highest level of folate?

<p>Pregnant women (A)</p> Signup and view all the answers

What is another name for biotin that was used during its early discovery?

<p>Coenzyme R (B)</p> Signup and view all the answers

What is the upper limit of folate intake per day for adults?

<p>1000 µg/day (D)</p> Signup and view all the answers

Which of the following can result from excessive folate supplementation?

<p>Vitamin B12 deficiency masking (C)</p> Signup and view all the answers

Which of the following nutrients is considered a non-essential nutrient?

<p>Inositol (C)</p> Signup and view all the answers

What is Coenzyme Q10 commonly referred to as?

<p>Ubiquinone (B)</p> Signup and view all the answers

Which of the following foods is the best source of folate?

<p>1 cup of Lentils (B)</p> Signup and view all the answers

What is the potential benefit of high levels of folate for Alzheimer's patients?

<p>Improve memory and reduce memory decline (A)</p> Signup and view all the answers

Which of the following nutrients is falsely claimed to enhance muscle development?

<p>Carnitine (B)</p> Signup and view all the answers

What is another name for folate?

<p>Folic acid (A), PGA (D)</p> Signup and view all the answers

Which of the following statements regarding folate is true?

<p>Folate is essential for new cell growth. (B)</p> Signup and view all the answers

Which of the following is NOT an actual B vitamin?

<p>Vitamin B15 (A), Vitamin B17 (C)</p> Signup and view all the answers

In which food products is folate added as per Canadian regulations?

<p>White flour (A)</p> Signup and view all the answers

What is the source of folate that is commonly fortified in breakfast cereals?

<p>Raisin bran cereal (A)</p> Signup and view all the answers

Which of the following statements about Vitamin O is correct?

<p>It is a form of oxygenated salt water. (B)</p> Signup and view all the answers

What is the primary function of folate as a coenzyme?

<p>Helping make DNA for new cell growth (D)</p> Signup and view all the answers

What is a consequence of folate deficiency during pregnancy?

<p>Megaloblastic anemia (D)</p> Signup and view all the answers

What condition can occur if there is inadequate folate during neural tube closure?

<p>Spina bifida (C)</p> Signup and view all the answers

What has been observed since the fortification of cereals with folate began in 1996?

<p>Decreased spina bifida rates (C)</p> Signup and view all the answers

How may folate fortification potentially affect cancer rates, according to some studies?

<p>Increase in colon cancer rates (D)</p> Signup and view all the answers

What is the name given to the coenzyme form of folate involved in energy production?

<p>THF (D)</p> Signup and view all the answers

What are megaloblastic blood cells characterized by?

<p>Irregular shapes and larger size (D)</p> Signup and view all the answers

Which of the following is a primary dietary source of Vitamin B12?

<p>Animal products (B)</p> Signup and view all the answers

Why might vegans need to consider supplements for Vitamin B12?

<p>They do not consume sufficient Vitamin B12 from food. (D)</p> Signup and view all the answers

What has been proven about Vitamin B12 supplementation in non-deficient individuals?

<p>It has no proven benefits. (C)</p> Signup and view all the answers

What compound does choline help synthesize that is essential for neurotransmission?

<p>Acetylcholine (A)</p> Signup and view all the answers

Why was choline designated as an essential nutrient by the Institute of Medicine?

<p>It is vital for muscle control and nerve function. (B)</p> Signup and view all the answers

What happened to healthy men on a choline-free diet according to research?

<p>They developed liver damage. (D)</p> Signup and view all the answers

How is choline classified in nutritional science?

<p>A conditionally essential nutrient (A)</p> Signup and view all the answers

What is the main cause of Wernicke-Korsakoff Syndrome?

<p>Excess alcohol consumption (B)</p> Signup and view all the answers

Which symptom is commonly associated with dry Beri Beri?

<p>Extreme weakness (B)</p> Signup and view all the answers

What are the best food sources of thiamin (B1)?

<p>Pork and whole grains (A)</p> Signup and view all the answers

What can destroy riboflavin (B2)?

<p>Exposure to light (D)</p> Signup and view all the answers

What is the main function of riboflavin in the body?

<p>Part of coenzymes for energy production (A)</p> Signup and view all the answers

During the Kreb’s cycle, what happens to FAD when it accepts hydrogens?

<p>It becomes FADH2 (D)</p> Signup and view all the answers

Which of the following foods is mandated to have riboflavin added under Canadian regulations?

<p>White flour (C)</p> Signup and view all the answers

What is the result of FADH2 passing through the electron transport chain?

<p>It generates ATP (D)</p> Signup and view all the answers

Flashcards

Wernicke-Korsakoff Syndrome

A serious neurological disorder caused by severe thiamin (Vitamin B1) deficiency, often associated with chronic alcohol abuse.

Thiamin Deficiency

A lack of thiamin in the body, which can lead to various health problems like Wernicke-Korsakoff syndrome.

Beriberi

A disease caused by thiamin deficiency, characterized by muscle weakness, nerve damage, and heart problems.

Dry Beriberi

A form of beriberi affecting the nervous system, causing weakness, numbness, and pain in the limbs.

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Riboflavin (B2)

A water-soluble vitamin essential for energy production and cell growth, found in dairy products, enriched grains, and leafy green vegetables.

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Riboflavin Coenzyme

Riboflavin acts as a coenzyme (FMN and FAD) in energy production, helping the body use carbohydrates, fats, and proteins for fuel.

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FMN & FAD

Flavin mononucleotide (FMN) and flavin adenine dinucleotide (FAD) are coenzymes derived from riboflavin, crucial for energy metabolism.

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Electron Transport Chain

A series of protein complexes in mitochondria that use electrons from the breakdown of food molecules to generate ATP (energy).

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Folate's Role in Cell Growth

Folate is crucial for the creation of new cells, making it essential for brain development during pregnancy.

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Folate and Alzheimer's

Some studies suggest that high doses of folate (up to 800 mcg daily) might improve memory, reduce decline, or even prevent Alzheimer's disease in some individuals.

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Folate Toxicity

Folate toxicity doesn't come from food. It's primarily caused by excessive supplementation. High doses of folate can mask a vitamin B12 deficiency, making diagnosis difficult.

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Folate RDA (Adults)

The recommended daily intake of folate for adults is 400 micrograms (mcg).

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Folate RDA (Pregnancy)

Pregnant women need a higher intake of folate, with the recommended daily amount being 600 mcg.

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Folate RDA (Lactation)

Lactating mothers also have higher needs for folate, with a recommended daily intake of 500 mcg.

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Folate Upper Limit

The upper limit for daily folate intake is 1000 mcg (1 gram). Exceeding this amount can lead to potential health risks.

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Dietary Sources of Folate

Good sources of folate include spinach, avocado, asparagus, legumes, orange juice, broccoli, fortified cereals, and some dairy products.

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Vitamin B Impostors

Substances marketed as vitamin B but are not true B vitamins. For example, Inositol and Lipoic acid are made by the body and are abundant in food.

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What makes a nutrient essential?

A nutrient is considered essential if the body cannot make it in sufficient quantities and it must be obtained from the diet.

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Hesperidin

Also called Vitamin P, a nutrient imposter marketed as a vitamin but actually a bioflavonoid, a natural plant pigment.

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Coenzyme Q10

Also called ubiquinone, a nutrient imposter marketed as a vitamin but actually a quinone involved in cellular energy production.

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Pangamic acid

Also called Vitamin B15, a nutrient imposter marketed as a vitamin but actually a compound with no proven health benefits.

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What is Folate?

Folate, also known as folic acid, folacin, or PGA (pteroylglutamic acid), is a B vitamin vital for various bodily functions. It's commonly added to fortified foods like white flour, cornmeal, pasta, and cereals.

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What is the historical significance of Folate?

Folate's discovery stemmed from research on anemia during pregnancy. In 1937, Dr. Lucy Wills successfully treated a pregnant woman with anemia using a yeast preparation now known as Wills Factor, which was later isolated from spinach and named folate, after the Latin word for 'foliage'.

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What is the function of Folate?

Folate is crucial for various bodily functions, including energy production from carbohydrates, fats, and proteins, particularly in protein metabolism. It also plays a vital role in the creation of DNA needed for cell growth.

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What happens when there's a Folate deficiency?

A folate deficiency can lead to problems with cell division, resulting in megaloblastic anemia, characterized by larger but fewer red blood cells. In severe cases, it can also cause neural tube defects, such as spina bifida, in developing babies.

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How has Folate fortification helped?

Fortifying cereals with folate since 1996 has been instrumental in decreasing the rate of spina bifida. By adding folate to common foods, it helps ensure that pregnant women get the necessary amount of this crucial nutrient.

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What are the potential concerns regarding Folate fortification?

Some studies have suggested a possible connection between folate fortification and an increase in colon cancer rates. The theory is that folate might stimulate DNA synthesis, potentially promoting the growth of existing cancerous cells.

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In what foods is Folate naturally found?

Folate is naturally present in many foods, particularly in leafy green vegetables like spinach, as well as in other foods such as legumes, fruits (especially citrus fruits), and fortified grains.

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What is NAD?

NAD stands for Nicotinamide Adenine Dinucleotide. It is a coenzyme that plays a crucial role in energy production from carbohydrates, fats, and proteins.

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What is NADP?

NADP stands for Nicotinamide Adenine Dinucleotide Phosphate. It's another coenzyme like NAD, also involved in energy metabolism, but with a slightly different function.

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What is a coenzyme?

A coenzyme is a small non-protein molecule that helps an enzyme function properly. They are often derived from vitamins.

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What is Pellagra?

Pellagra is a deficiency disease caused by a lack of niacin (vitamin B3) in the diet. It's characterized by the 4Ds: Dermatitis, Diarrhea, Dementia, and eventually Death.

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What is the effect of niacin deficiency on the skin?

Niacin deficiency can lead to dermatitis, characterized by a rash, dry skin, darkening, and flaking of the skin, especially in areas exposed to sunlight.

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What is the effect of niacin deficiency on the digestive system?

Niacin deficiency can cause diarrhea due to inflammation of the intestines.

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What is the effect of niacin deficiency on mental health?

Niacin deficiency can result in dementia, causing mental confusion. Before pellagra was cured, individuals were often mistaken for having a mental illness.

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How can niacin toxicity occur?

Niacin toxicity can occur when taking high doses of nicotinic acid. It causes vasodilation, leading to flushed skin. Megadosing with niacin can also cause side effects like irregular heartbeat, GI disorders, and hot flashes.

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How can we improve niacin bioavailability from corn?

The niacin found naturally in corn is bound to other molecules, making it hard to absorb. Treating corn with lime water during tortilla preparation breaks down these bonds and improves niacin bioavailability.

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What are the best food sources for niacin?

Niacin is primarily found in protein-rich foods like meat, poultry, fish, eggs, and dairy products. It can also be found in enriched grains.

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Megaloblastic Blood Cells

Red blood cells that are larger than normal and often irregular in shape, characteristic of pernicious anemia.

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Pernicious Anemia

A type of anemia caused by a deficiency in vitamin B12, leading to the production of large, abnormal red blood cells.

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Vitamin B12 Toxicity

Vitamin B12 does not have a known toxicity level. It's safe to consume in normal dietary amounts.

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Dietary Sources of Vitamin B12

Vitamin B12 is primarily found in animal products, such as meat, poultry, fish, eggs, and dairy.

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Vegan Vitamin B12

Vegans need to supplement their diet with fortified plant-based foods or take vitamin B12 supplements because they don't consume animal products.

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Choline: A Conditionally Essential Nutrient

Choline is a water-soluble compound involved in various bodily functions, including neurotransmission and cell membrane structure. While the body can usually produce enough, some individuals might require dietary supplementation.

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Choline and Liver Damage

Research has shown that a choline-deficient diet can lead to liver damage in humans. This suggests that sufficient choline intake is crucial for liver health.

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Choline and Cell Membranes

Choline plays a vital role in the structure and function of cell membranes, contributing to their integrity and proper signaling.

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Study Notes

Introduction to Vitamins

  • Vitamins are organic compounds vital for various bodily processes, from growth and reproduction to maintaining health.
  • They are needed in small amounts.
  • They function as part of coenzymes.
  • Vitamins are classified as water-soluble or fat-soluble.

Vitamins - General Information

  • Casmir Funk (1911) identified substances in foods vital to life, naming them vitamins.
  • The word "vita" means life, and "amine" refers to nitrogen-containing compounds.
    • Not all vitamins contain nitrogen, however
  • Vitamins are often isolated and purified
  • They might be added to a food (fortification/enrichment) or pills (supplements).
  • Examples: naturally present in foods, added to foods, or consumed as natural health products are all part of the modern diet.
  • Key function: promote and regulate growth, reproduction, and health maintenance.

Classification of Vitamins

  • Water-soluble vitamins: dissolve in water

    • Examples: B vitamins (thiamin, riboflavin, niacin, biotin, pantothenic acid, vitamin B6, folate, vitamin B12, Vitamin C)
  • Fat-soluble vitamins: dissolve in fat

    • Examples: Vitamin A, Vitamin D, Vitamin E, Vitamin K

Thiamin (B1)

Thiamin (B1) - History

  • Beri beri, a disease involving symptoms like weakness, fatigue, and depression, was found to be related to a deficiency.
    • Takaki (Japanese naval officer) observed that removing the outer husk from rice was a risk factor for this disease.
    • Eijkmman later found that chickens receiving a diet solely of refined rice developed Beri Beri, but adding rice husks to the diet resolved symptoms.
  • The chemical structure was determined in 1936/37.
  • Thiamin is important for energy release.

Thiamin (B1) - Chemistry and Properties

  • Water-soluble; destroyed by heat and oxygen.
  • Canadian regulations added Thiamin in some processed foods.

Thiamin (B1) - Function

  • Thiamin pyrophosphate (TPP) is a coenzyme in energy-releasing reactions.
  • It is needed in pyruvate-acetyl CoA and ketoglutarate-succinyl CoA reactions.
  • TPP is a part of nerve cells.

Thiamin (B1) - Deficiency

  • Symptoms of deficiency include beri beri (including 4 forms: infantile, wet, dry, and cerebral).
  • Cerebral beri beri also known as Wernicke-Korsakoff syndrome is linked to alcohol consumption.

Thiamin (B1) - Food Sources

  • Pork and whole grains are good sources of thiamin.

Riboflavin (B2) - History

  • The second B vitamin discovered.
  • Another name is Vitamin B2

Riboflavin (B2) - Chemistry and Properties

  • Water-soluble
  • Susceptible to light.
  • Canadian regulations added Riboflavin in processed foods.

Riboflavin (B2) - Function

  • Part of coenzymes FMN and FAD needed in energy-producing processes of carbohydrates, fats, and proteins.

Riboflavin (B2) - Deficiency

  • Deficiency disease is called Ariboflavinosis.
  • Symptoms include cheilosis, glossitis, and ocular disorders (including eye inflammation, itching, and sensitivity to light)

Riboflavin (B2) - Food Sources

  • Grains, milk and milk products, and meat are good sources of riboflavin.

Niacin (B3) - History

  • The third B vitamin discovered.
  • Another name is vitamin B3
  • Major discovery was due to researching pellagra

Niacin (B3) - Chemistry and Properties

  • Water-soluble
  • Canadian regulations added Niacin in processed foods.

Niacin (B3) - Function

  • Part of coenzymes NAD and NADP used in energy-releasing processes.
  • Needed for tryptophan conversion into niacin

Niacin (B3) - Deficiency

  • Deficiency causes pellagra
  • Symptoms include dermatitis, diarrhea, and dementia

Niacin (B3) - Food Sources

  • Protein rich foods are good sources.

Biotin (B7) -

Biotin - General Information

  • Also called coenzyme R or vitamin H
  • Water soluble.
  • Found in most foods

Biotin - Function

  • Serves as a coenzyme in metabolic processes.

Biotin - Deficiency

  • Deficiency is rare.
  • Raw egg whites contain avidin that binds to biotin inhibiting absorption, causing deficiency.

Biotin - Toxicity

  • There is generally no toxicity known.

Biotin - Food Sources

  • All foods

Pantothenic Acid (B5) -

Pantothenic Acid (B5) - General Information

  • Also called vitamin B5
  • Found in many foods

Pantothenic Acid (B5) - Biochemistry and Properties

  • Often susceptible to damage by heat/acid

Pantothenic Acid (B5) - Function

  • Part of CoA coenzyme used in energy extraction

Pantothenic Acid (B5) - Deficiency

  • There is no known deficiency

Pantothenic Acid (B5) - Toxicity

  • Potentially causes diarrhea in large doses

Pantothenic Acid (B5) - Food Sources

  • All foods

Vitamin B6 :

Vitamin B6 - General Information

  • A complex of three related compounds.
  • Also referred to Pyridoxine , pyridoxal, and pyridoxamine.
  • Water soluble.

Vitamin B6 - Function

  • Part of co-enzymes needed for protein metabolism

Vitamin B6 - Deficiency

  • Deficiency is rare, but can lead to anemia and other symptoms

Vitamin B6 - Food Sources

  • Common in protein-rich foods

Folate -

Folate - General Information

  • Also called folic acid or PGA
  • Water-soluble

Folate - History

  • Dr. Lucy Wills discovered that folate was necessary to prevent anemia during pregnancy.

Folate - Function

  • Part of coenzyme THF vital in protein metabolism and DNA synthesis

Folate - Deficiency

  • Deficiency causes anemia and neural tube defects like spina bifida.
  • Particularly during pregnancy.

Folate - Toxicity

  • Excessive intake (not common from diet alone)

Folate - Food Sources

  • Common in green vegetables, legumes, and some fortified foods

Vitamin B12

Vitamin B12 - History

  • Researchers observed pernicious anemia linked to low liver quantities of a substance named B12.
  • Found that large quantities of liver cured anemia
  • Its structure was later determined and named "cobalamin."

Vitamin B12 - Chemistry and Properties

  • B12 is stored in the liver and its absorption requires intrinsic factor in the stomach.
  • It's a relatively long-lasting nutrient in the body; therefore, less frequent consumption is required.

Vitamin B12 - Function

  • A part of coenzymes important for cell growth and DNA production

Vitamin B12 - Deficiency

  • Leads to pernicious anemia due to poor absorption linked to intrinsic factor.

Vitamin B12 - Food Sources

  • Primarily found in animal products.

Choline -

Choline - General Information

  • A water-soluble compound.
  • Used by the body to make acetylcholine and phospholipids for cell structure, and is needed for muscle control.

Choline - Biochemistry

  • The body can make sufficient choline amounts when processed by intestinal cells.
  • Reconfigured into lecithin molecules.

Choline - Nutritional Considerations

  • The body can synthesize sufficient amounts; nevertheless, research shows that choline-deficient diets can damage the liver.
  • Classified as a conditionally essential nutrient.

Vitamin B Imposters -

  • Compounds marketed as B vitamins that are not actual B vitamins include inositol and lipoic acid.
  • They're made by the body and plentiful in foods, so they're considered non-essential.
  • Other imposters include Vitamin P, Coenzyme Q10, Vitamin B5, Vitamin B15, Vitamin B17, Vitamin O, and Vitamin B4.

Important Metabolic Pathways

  • Many metabolic pathways utilize these B vitamins in critical roles, like energy production from carbohydrates, fats, and proteins.

Note:

  • Information on toxicity, deficiency symptoms, and dietary sources needs to be further dissected across each vitamin.

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Description

Test your knowledge on niacin and folate, two essential nutrients. This quiz covers their functions, dietary sources, clinical symptoms of deficiencies, and more. Challenge yourself with questions about dietary recommendations and coenzymes related to these critical vitamins.

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