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Fertility and Sterility , 86(6), 1561-1572

+ metabolism, methylation balance, and cellular energy homeostasis Inflammation & Oxidative Stress: Experimental data evaluate inflammatory mediators and oxidative-stress markers in metabolic-stress settings

Vitamin B12 is an essential nutrient that plays a key role in red blood cell formation, neurological function, and energy metabolism

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and the cycling rationale (JAAOS Global, 2026)
