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Its important to treat both to avoid worsening symptoms

180 In one randomized controlled trial in 40 men with infertility, 2 grams of spirulina daily along with standard therapies for 12 weeks had no effect on semen parameters but resulted in a 5% higher pregnancy rate than placebo

Vitamin B12 is an important vitamin, and doctors sometimes inject it to help those with a vitamin deficiency avoid pernicious anemia

Vitamin B12 can be given in the subcutaneous tissue or intramuscularly

Biotin deficiency reduces expression of SLC19A3, a potential biotin transporter, in leukocytes from human blood

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