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it's a systemic recalibration of the body's response to injury

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Concurrent nutritional deficienciesparticularly folate or iron deficiencycan impair the response to B12 treatment, as these nutrients work together in red blood cell production

In these patients, barriers to fertility can be associated with derangements of the HPG axis, surgical deficits, induced sexual dysfunction, as well as spermatogonial insult or depletion from chemotherapeutic and radiation treatment