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Patients often report improvements in their physical performance, reduced fatigue, and an overall sense of well-being

Vitamin B12 deficiency lasting longer than 3 months can lead to permanent damage to the nervous system and cognitive disorders and dysfunctions in the area of mental health (e.g., depression, memory disorders, dementia, psychosis)

[29] Choline Choline requirements are exceptionally high in pregnant women

The renal injury parameters including 24-h urinary protein, blood urea nitrogen and serum creatinine were assessed