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Conclusion Within a specific range (358.7 pg/mL), serum vitamin B12 levels may modestly contribute to improved clinical pregnancy rates in women undergoing IVF-ET with the follicular-phase GnRH agonist protocol, though further validation is required to confirm its clinical significance

A 2019 review by Anthony Wishard and Bruce C

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Br J Clin Pharmacol 56:635638

When you have a vitamin B12 deficiency you might start to feel very tired, lack energy, experience muscle weakness, pins and needles or problems with your memory