Additionally, significant dietary restriction and reduced intake of animal productscommon with appetite suppressionmay decrease dietary B12 consumption
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The pharmacology is relevant here
Methionine metabolism requires B6, B12, and folate to prevent homocysteine accumulation, which can cause fatigue and vascular inflammation if elevated
After taking individual risk factors into account, the risk for non-live birth was 29.7% with medication continuation versus 27.1% with non-continuation, a difference that was not deemed statistically significant
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