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Standard prenatal multivitamins in the UK generally contain between 2.5 and 10 micrograms of B12, which may be sufficient for women with adequate dietary intake but insufficient for those with established deficiency or malabsorption

Vitamin B12 deficiency has occurred in breastfed infants of vegetarian mothers whose diets contain no animal products (e.g., eggs, dairy), even though the mothers had no symptoms of deficiency at the time

Blood markers may change before nerve symptoms improve, and long-standing neurologic symptoms may take longer to assess