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2 Table 2 Clinical Manifestations of Vitamin B12 Deficiency Maternal vitamin B 12 deficiency during pregnancy or while breastfeeding may lead to neural tube defects, developmental delay, failure to thrive, hypotonia, ataxia, and anemia

Bush T, Lovejoy JC, Deprey M, Carpenter KM

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If your deficiency is more serious and you have symptoms of ill-health, a stronger dose of Vitamin B12 may be prescribed to be taken orally, in an IV drip or an intramuscular shot