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A 2004 study published in the American Journal of Obstetrics and Gynecology suggests vitamin B12 deficiency during pregnancy may increase spina bifida risk in the fetus/baby
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For vegans and vegetarians, dietary limitations can lead to insufficient B12 intake, as it is predominantly found in animal-based foods
Dose escalation temporarily disrupts electrolyte balance, slows gastric emptying more dramatically, and accelerates metabolic shifts
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