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And that fourth pathway, the amylin system, does not just add incremental benefit

doi: 10.1016/S1474-4422(18)30499-X 5 GBD 2019 Dementia Collaborators

It does so by using a cofactor called methylcobalamin, a form of vitamin B12

Such higher alcohols are typically formed via the Ehrlich pathway, in which yeast metabolizes amino acids to produce fusel alcohols during fermentation