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In a cohort of pregnant women in Bangalore, India, with a high incidence of vitamin B-12 deficiency, we reported previously that women in the lowest tertile for plasma vitamin B-12 concentration during all 3 trimesters of pregnancy had significantly higher risk of IUGR that persisted after adjusting for maternal age, weight, education, and parity (12)

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A well-designed protocol uses them together or sequentially based on symptom profile

Oral supplements can work for: Dietary deficiencies (e.g., in vegans), mild absorption issues, or as a maintenance option after initial injection therapy

Lifestyle modifications are fundamental in managing autoimmune disease

With regular injections, many patients enjoy a restored sense of well-being that they may not have felt in years