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You can have vitamin B12 deficiency anemia if you don't get enough vitamin B12 in your diet from foods like milk, eggs, and meat, or if your body can't absorb B12 because of a health problem

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in those patients with dietary deficiency) in the terminal ileum

191 In one randomized controlled trial that included 175 men with infertility, taking a supplement providing 1 gram L-carnitine and 0.5 grams acetyl-L-carnitine, as well as 725 mg fumarate, 1 gram fructose, 50 mg citric acid, 10 mg zinc, 20 mg CoQ10, 50 mcg selenium, 90 mg vitamin C, 200 mcg folic acid, and 1.5 mcg B12, twice daily improved sperm motility, semen volume, and DNA fragmentation compared with placebo after six months

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