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The detrimental effects of B12 deficiencysuch as hyperhomocysteinemia and impaired methylationare well-established and can negatively impact oocyte quality and embryo viability [19, 20], which is consistent with the lower pregnancy rates we observed at low B12 levels

This preservation effect contributes to sustained melatonin production capacity rather than temporary hormonal fluctuation

There is evidence suggesting that L-Carnitine may increase the frequency of seizures in susceptible individuals

As natural production slows with age, energy, skin elasticity, recovery, and vitality can decline

Any excess carnitine passes out of the body in urine to maintain stable blood concentrations

10.1016/j.plaphy.2015.11.005 Plant Physiol