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Shyamali Dharmage who provided guidance for interpretation of the included studies and provided comments on the manuscript

Many reproductive endocrinologists incorporate peptide therapy with antioxidant supplements, hormone optimization, and lifestyle modifications

Common symptoms include: Fatigue and weakness Anemia Neurological issues such as numbness or tingling in the hands and feet Cognitive difficulties and memory problems Glossitis and mouth ulcers Moreover, prolonged deficiency can lead to severe health complications, such as pernicious anemia and neurological damage

They check refrigerator temperature weekly