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Interestingly, the high folate & high vitamin B12 group showed a significantly reduced mortality (HR=0.64, 95% CI: 0.45-0.89, P =0.009) ( Table 2 )

These findings suggest that TEI is unlikely to be driven by direct vitamin B12 transmission and instead depends on downstream factors or alternative transport mechanisms

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They are documented patterns in self-reported community sources, included to show how users have described handling adverse effects in the complete absence of trial-defined safety data

Symptoms of B12 Deficiency Related to Sexual Health Difficulty achieving or maintaining an erection