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In this case, the negatively charged NADPH anion with 2 transfers an electron to the methylcobalamin structure at the very beginning of the CASSCF(14,13) geometry optimization, breaking the Co-C bond, similar to the interaction of methylcob(II)alamin with the dissociated homocysteine anion [2]
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To date, no randomized clinical trials have demonstrated a higher efficacy of one specific technique in terms of either pregnancy rate or recurrence rate
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