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It has been observed that vitamin B12 also has antioxidant effects when it gets absorbed, and it is used as a cofactor for enzymes that are involved in the synthesis of deoxyribonucleic acid (DNA), fatty acids, and myelin

These steps can help decrease local inflammation and establish a better setting at the cellular level for conception

Retrieved from [8] Naithani M, Saxena V, Mirza AA, Kumari R, Sharma K, Bharadwaj J

Consequently, ANOSIM testing was also performed, which showed that clustering by treatment group was significant in each of the diversity measures (unweighted UniFrac: R value = 0.369, p = 0.0010

Whilst this paper describes a statistically significant reduction in pain measured by the numeric rating scale (NRS) from baseline in both arms, there was no enhancement of outcome with the addition of B12 and ALA