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Record lot data in accordance with institutional research protocols and apply standard contamination control practices

Lack of serum B12 levels or methylmalonic acid/homocysteine measurements: The diagnosis of B12 deficiency, although clinically justified, would have been more robust with documented low B12 levels and elevated methylmalonic acid/homocysteine

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Pregnant or breastfeeding women: Our team is committed to making sure that the mother and child, including managing B12 levels during these critical periods