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The relation between maternal and infant vitamin B-12 status has been the subject of limited studies (33)
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It also acts as a cryoprotectant during the freeze-drying process that many compounded formulations undergo, protecting the peptide structure from freezing-related damage
When assessing for vitamin B12 deficiency, in addition to checking a vitamin B12 level, consider ordering a methylmalonic acid level or a holotranscobalamin level and CBC (to assess for red blood cell size)
