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Deficiency in vitamin B12 is also associated with disproportionate fetal growth (low muscle mass and excess fat mass), increased insulin resistance, intrauterine growth restriction, and lifelong susceptibility to certain chronic diseases

The presence of benzyl alcohol prevents bacterial growth after vial opening

It appears that maintaining adequate blood levels of the vitamin, like through supplementation, does improve birth outcomes ( SUMMARY A vitamin B12 deficiency can cause a range of mild to severe side effects, including anemia, weakness and fatigue, and birth defects in infants

If the result is borderline or your symptoms are suggestive despite a "normal" number, MMA and homocysteine add diagnostic sensitivity