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It has important roles in the body, contributing to critical processes like energy production, red blood cell formation, DNA synthesis, and neurological function

This action is particularly vital in assisted reproductive technologies, such as in vitro fertilization (IVF), where precise control of ovulation timing is required (6)

24 Table 3 Estimated Sensitivity and Specificity of Serum Laboratory Tests for Vitamin B12 Deficiency Pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12

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Studies suggest a link between low vitamin B12 levels and increased risk of preterm delivery