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The MTHFR polymorphisms are associated with an up to 70% decline in enzymatic activity, impairing methylation processes in the cell and resulting in elevations in homocysteine

However, surgery also has some risks and complications, such as bleeding, infection, damage to the nearby nerves that control the voice box (laryngeal nerves) or the parathyroid glands that regulate calcium levels (hypoparathyroidism), and hypothyroidism

Mecobalamin is a form of vitamin B12 that plays a crucial role in maintaining nerve function, red blood cell production, and overall energy levels

Holanda AON, de Oliveira ARS, Cruz KJC, et al