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Figure 4: Relation between total plasma homocysteine and red cell folate in depression.[36] Higher homocysteine levels have been found in people experiencing anxiety, anger, hostility, panic attacks and post-traumatic stress disorders compared to control levels.[37],[38],[39],[40] Controlled human experiments have found that plasma homocysteine levels rise during short-term stressful activities, possibly driven by the sympathetic nervous system, highlighting the link between homocysteine and stress.[41],[42] In a study of 2,682 men aged between 42 and 60 years, depressive symptoms were assessed with the 18-item Human Population Laboratory Depression Scale

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EMS can severely disrupt the cell cycle of follicular granulosa cells and increase the apoptotic rate of granulosa cells in patients (48, 49)