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Per the official ANSI X12 cod

B12 is required for the synthesis of red blood cells, growth and a childs development, maintaining the nervous system and synthesis of DNA during cell division, which is especially important in regions of rapid cell division such as bone marrow (red blood cell formation)

Additionally, the study indicated a potential decrease in the expression of urea cycle enzymes in animal models

Adequate levels of vitamin B12 are also required for a healthy nervous system, pregnancy, and the ability to produce DNA