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Despite their clinical relevance, the current literature on pediatric and adolescent andrological disorders remains limited and fragmented, often focusing on isolated conditions and overlooking the critical transitional period [4,5,6,7,8,9,10,11,12]

Methylcobalamin acts as an essential cofactor in two primary enzyme reactions crucial for human metabolism: Homocysteine to Methionine Conversion: Methylcobalamin is required by the enzyme methionine synthase

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Vitamin B12 deficiency is a recognised nutritional complication following bariatric surgery, including gastric banding (laparoscopic adjustable gastric banding, LAGB)

Together they compress 6-12 months of healing into 6-8 weeks for many tendon and muscle injuries

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