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Naturally, vitamin B12 can be found in food such as meat, fish and dairy where b12 attaches itself to protein, which is separated by stomach acid during digestion, allowing it to be absorbed into the bloodstream

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Finally, metabolic regulation provides an additional protective layer, particularly in conditions such as PCOS and diabetic erectile dysfunction (ED) (195, 196)

All subjects provided a surrogate/secondary contact (spouse/family member/friend) in order to determine the subjects status if the subject could not be reached