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And what can you realistically expect from treatment

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It is a reason to add an annual B12 blood test to your routine panel while taking it

Homocysteine, a sulfur-containing amino acid, is produced in the metabolic process of methionine, an essential amino acid present in animal-derived proteins [13]

There are numerous other therapies and dietary supplements studied for PCOS treatment but they all have insufficient reliable evidence, and therefore I would proceed with caution

This is an autosomal recessive disorder, meaning that two mutations are necessary to have the severe disorder