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[13] [14] Deficiency impairs these pathways, leading to fatigue and reduced stamina One-carbon metabolism : B12 supports methylation reactions that contribute to various biochemical processes throughout the body Myelin formation : B12 supports the maintenance of myelin sheaths surrounding nerve fibres, ensuring efficient nerve signal transmission Red blood cell production : Adequate B12 is necessary for erythropoiesis

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Not only is vitamin B12 crucial for preventing birth defects, but a deficiency may also increase the risk of miscarriage or premature birth

The telling sign of this is elevated homocysteine and methylmalonic acid despite normal folic acid, B6, & B12 levels (11)