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Int J Radiat Oncol Biol Phys 115(4):847-860, 2023

Methylmalonic acid (MMA) and homocysteine levels: Both become elevated in B12 deficiency and can help confirm diagnosis when serum B12 is borderline
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Cortisol alters immune signaling in the reproductive tract and raises local inflammation that can harm gametes and the implantation environment

(More information) Other Articles Vitamin B 12 has the largest and most complex chemical structure of all the vitamins