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Signs of pernicious anemia include fatigue together with skin pallor or jaundice as well as heart palpitations and shortness of breath, along with nerve-related issues such as numbness or tingling sensations, muscle weakness, cognitive difficulties, inflammation of the tongue and mouth ulcers

The study showed higher expression of membrane and extracellular matrix genes in spermatozoa from high-fertility bulls, while transcripts of transcriptional and translational factors were lower in the low-fertility bulls

While B12 can be found in foods such as meat, fish, and dairy products, some individuals may not get enough through their diet

Morrison and Spradling, 2008)