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Because of these various factors, you should consult a doctor before deciding on a B12 supplementation regimen

We used to be able to B12 in vegetables as it was present in the soil, but agricultural practices have diminished the levels of B12 in our soil to the point where it is almost non-existent

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Elevated homocysteine levels with weight loss after Lap-Band surgery: Higher folate and vitamin B 12 levels required to maintain homocysteine level

The average infant blood vitamin B 12 level at 8 weeks postpartum was 506 pmol/L (686 ng/L).[28] Three hundred fifty-three infants born to women in Bangladesh taking a daily multinutrient supplement containing 2.6 mcg vitamin B 12 from the first trimester of pregnancy through 3 months postpartum had a median blood vitamin B 12 level at 6 months postpartum of 221 pmol/L (299 ng/L)