Evidence mapPaperPMID 41711259Full record

ReviewMolecular reproduction and development2026

Vitamin B12 and Reproductive Health: Clinical Insights, Emerging Mechanistic Understanding, and Nutritional Aspects.

Aimee Rachel Mathew, Erisa Selita, Chiara Regano, Claudia Bianco, Veronica Corsetti, Virve Cavallucci, Sandra Moreno, Ada Maria Tata, Marco Fidaleo

Abstract readReview
In one paragraph

Review in Molecular reproduction and development, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Aimee Rachel MathewDepartment of Biology and Biotechnologies "Charles Darwin", University of Rome Sapienza, Rome, Italy.ORCID 0000-0001-6546-9377
Erisa SelitaDepartment of Biology and Biotechnologies "Charles Darwin", University of Rome Sapienza, Rome, Italy.ORCID 0009-0005-1579-6229
Chiara ReganoDepartment of Biology and Biotechnologies "Charles Darwin", University of Rome Sapienza, Rome, Italy.ORCID 0009-0008-9407-4786
Claudia BiancoDepartment of Science, University Roma Tre, Rome, Italy.ORCID 0009-0009-0276-5748
Veronica CorsettiInstitute of Translational Pharmacology (IFT), National Research Council (CNR) of Italy, Rome, Italy.ORCID 0000-0001-6862-2998
Virve CavallucciDipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0000-0003-3082-6359
Sandra MorenoDepartment of Science, University Roma Tre, Rome, Italy.ORCID 0000-0002-1079-3222
Ada Maria TataDepartment of Biology and Biotechnologies "Charles Darwin", University of Rome Sapienza, Rome, Italy.ORCID 0000-0003-4868-5435
Marco FidaleoDepartment of Biology and Biotechnologies "Charles Darwin", University of Rome Sapienza, Rome, Italy.ORCID 0000-0002-1287-9601

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidemiological data from assisted reproductive technologies (ART) link vitamin B12 (VitB12) deficiency to shorter gestation, low birth weight, and reduced live birth rates. VitB12 also plays a critical role in fertility for both sexes by supporting gamete quality. Despite some contradictions, emerging evidence suggests early-life VitB12 deficiency may affect learning and cognitive development. Collectively, these findings suggest that VitB12 is a key determinant of both reproductive and developmental health. Mechanistically, VitB12 acts as a coenzyme in one-carbon metabolism, and its deficiency leads to elevated homocysteine (Hcy) and methylmalonic acid (MMA) levels, promoting oxidative stress and thereby impairing fertility. Although this remains the most established mechanism, other yet unidentified pathways may also mediate the effects of VitB12 on reproductive function. While the effects of severe VitB12 deficiency are well established, mild deficiencies may develop silently in individuals following plant-based diets or those with gastrointestinal disorders. Plant-based sources of VitB12 remain controversial, as many provide only trace amounts or biologically inactive analogs such as pseudovitamin B12, which may interfere with absorption. Further research is needed to evaluate their bioavailability and clinical effectiveness. This review synthesizes clinical evidence, mechanistic insights, and dietary considerations to highlight how VitB12 status shapes reproductive health.

Indexed as

ReproductionReproductive HealthVitamin B 12Vitamin B 12 DeficiencyAnimalsFemaleHumansPregnancyVitamin B 12deficiencydevelopmentfertilityreproductionvitamin B12

Identifiers

PMID41711259
PMCPMC12917936

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.