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Vitamin B12, also known as cobalamin, is a vital nutrient with significant importance for various bodily functions

Inflammatory mediators not only damage testicular architecture by impairing the blood-testis barrier [13] but also disrupt the function of Leydig cells, which are responsible for testosterone synthesis [12, 27]

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ADRs associated with severe VPA include spots of purple color on the skin, unusual bruising or bleeding, blisters or rash, fever, itching, confusion, hives, enlarged glands, trouble breathing or swallowing, joint weakness, suicidal thoughts, and depression (Gayam et al., 2018)