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This triggers the cAMP signalling cascade, which activates protein kinase A (PKA), leading to hormone-sensitive lipase (HSL) and adipose triglyceride lipase (ATGL) activation, resulting in triglyceride hydrolysis in adipocyte cell models

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1 2 3 "Vitamin B12, folate, and the methionine remethylation cycle-biochemistry, pathways, and regulation" (PDF)

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Thus, routine evaluation of serum vitamin B12 could facilitate the development of personalized nutritional strategies in reproductive medicine, thereby enhancing the efficacy and precision of IVF treatments