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Several factors influence which medication may be the better fit

[42] Low maternal vitamin B 12 , defined as serum concentration less than 148 pmol/L, increases the risk of miscarriage, preterm birth and newborn low birth weight

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Selenium supplementation (if dietary intake is inadequate) supports glutathione enzyme function

-Syn interacts with Fe + and Fe + , promoting lipid peroxidation and ROS generation, which accelerate oxidative stress and ultimately drive ferroptotic neuronal loss (248)

Some brands portray it as an injectable procedure (via clinic-administered injection/IV treatment)