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B12 analoguesinactive formsmay be found in algae and some plant foods.2,4,5 Vitamin B12 is needed for proper red blood cell formation, neurological function, and DNA synthesis

The study authors suggest that B12 concentrations may need to be assessed as part of routine measures in the management of male infertility

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Maintenance phase: Once the loading phase is complete, patients transition to maintenance therapy with 1 mg hydroxocobalamin intramuscularly every two to three months for life