Vitamin B12 is essential for neurologic function, red blood cell creation, and DNA synthesis and is a coenzyme for three primary biochemical conversions: homocysteine to methionine, 5-methyltetrahydrofolate to tetrahydrofolate, and methylmalonic acid to succinyl coenzyme A [1, 2]
Although moderate alcohol intake is not likely to impact fertility, heavy alcohol use is toxic to sperm and daily alcohol use has been linked to reduced male fertility
However, simply requesting an injection a day early is unlikely to meet this threshold
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Retatrutide itself has only been studied as a standalone agent in controlled clinical trial settings