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The detrimental effects of B12 deficiencysuch as hyperhomocysteinemia and impaired methylationare well-established and can negatively impact oocyte quality and embryo viability [19, 20], which is consistent with the lower pregnancy rates we observed at low B12 levels

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This section explores how Indonesia has developed and implemented a national ocean policy and the blue economy policy frameworks as two approaches in pursuing the countrys interests in sustainable ocean development, following three assessment criteria for blue economy development at the national level: policy development, implementation strategies and sustainability inclusion (Wuwung et al., 2022)

[1] The authors framed the observed metabolic shifts as a direct effect on lipid handling in the model rather than appetite suppression