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[22] B 12 deficiency in pregnant women is increasingly common [23] and has been shown to be associated with major maternal health implications, including increased obesity, [23] higher body mass index (BMI), [24] insulin resistance, [22] gestational diabetes, and type 2 diabetes (T2D) in later life

Within the liver, as well as other tissues such as the kidneys, adipose tissue, and the vasculature, high levels of uric acid are associated with increased mitochondrial stress resulting in elevation in reactive oxygen species (ROS) production