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If left untreated, vitamin B12 deficiency can cause neurological changes, such as numbness or tingling in the hands and feet

Consequences of Maternal Undernutrition and Vitamin B12 Deficiency Maternal undernutrition, including Vitamin B12 deficiency , predisposes expectant mothers to a range of adverse pregnancy outcomes, such as early pregnancy loss, congenital anomalies, poor fetal growth, and increased perinatal morbidity and mortality

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If you haven't benchmarked your 90471 rate against current market data, you may be accepting underpayment as the default