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These methylation reactions also regulate gene expression during fetal development

While this medication is generally considered safe with no common side effects, individuals may experience occasional symptoms like nausea, upset stomach, or diarrhea

Patients are advised to report any unusual numbness, tingling, or coordination problems, as these may signal neurotoxicity if dosing is excessive

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A single-item literacy screener was included to evaluate health literacy 17 (How often do you need to have someone help you when you read instructions, pamphlets, or other written material from your doctor or pharmacy?) and there was a single-item measure of health status 18 (How would you rate your overall health?)