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Coexisting Illnesses B12 deficiency is often paired to other deficiencies or illnesses

Mallick R, Basak S, Duttaroy AK

Methionine: An essential amino acid, methionine acts as a lipotropic agent by participating in the synthesis of choline

It exerts its negative effects at these concentrations on sperm motility and viability and changes in sperm morphology that reduce the chances of fertilization