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Disruption in mitochondrial electron transport and production of ATP results in the intensification of anaerobic metabolism with a secondary accumulation of formate and lactate in tissues and the development of metabolic acidosis with secondary serious systemic complications (Gabay et al

Many choose to supplement with Methylcobalamin as they find the frequency of the injections offered does not meet their requirements

Obstet Gynecol 131:9195 Juan Z, Yukun L, Nianchun L, Jue L, Qunfeng Z, Min L, Jiao X, Yanhua Ch, Mengjie W, Kexin C, Juan Z, Zhongcheng M (2022) Identification of key genes associated with polycystic ovary syndrome and ovarian cancer using integrated bioinformatics analysis

Secondary outcomes, such as body mass index (BMI) and blood pressure (BP), were also documented where available