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those focused on direct gonadal stimulation use HCG

[2] When used in supplementation, all of the vitamin B 12 vitamers have been argued to be beneficial, with there not being clear evidence that any are relatively more or less effective

Since it influences cellular metabolism, women should consult a healthcare professional before starting supplementation, especially if they are pregnant, nursing, or managing medical conditions

[4] Clinical assessment should focus on identifying the cause of elevated levels rather than assuming toxicity from supplementation alone

Consult a qualified healthcare professional before making any health decisions