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Any deficiency can result in significant haematological, neurological and psychiatric manifestations which, if not identified and treated promptly, can be irreversible and cause significant morbidity and even mortality[3]

Results of two national surveys, the National Health and Nutrition Examination Survey (NHANES III-1988-94) [8] and the Continuing Survey of Food Intakes by Individuals (CSFII 1994-96) found that most children and adults in the United States (U.S.) consume recommended amounts of vitamin B12 [6-8]

Minimal statistical significance was set at p 0.05

S., Brown, M