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4 Clinical trials have shown nutrients such as acetyl-L-carnitine, 80 vitamin E, 6 melatonin, 7 and coenzyme Q10 8 can enhance female fertility

Inactive B12 : The standard test measures total B12, but cannot distinguish active from inactive forms

Vomiting, thirst, dry mouth and skin, increased urinary flow, diarrhea, headache, chills, imbalance, edema in the legs, hypertension, insomnia, loss of appetite, fatigue, etc., were also reported as adverse effects

Moreover, some patients may interrupt their treatment once symptoms improve, not realising the long-term necessity of ongoing supplementation to prevent recurrence of deficiency symptoms