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While the etiology of NTD is multifactorial, some studies have found that blood concentrations of homocysteine or holo-transcobalamin to be lower in NTD-affected infants and mothers compared to non-affected controls (reviewed in 59)

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It works by stimulating the breakdown of stored fat (lipolysis) and preventing the formation of new fat (lipogenesis), making it highly effective for weight loss and fat reduction