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Tell your clinician about any medicines that may affect vitamin B12 or folate testing, such as antibiotics, methotrexate, pyrimethamine, colchicine, para-aminosalicylic acid, or heavy alcohol use

In addition, low IGF-1 subjects in a study were found to possess up-regulated fatty acid metabolism along with down-regulated GLUT-1 gene (in charge of glucose uptake in erythrocytes, brain endothelial cells, eye, peripheral nerve and also responsible for materno-placental glucose transfer) [210]

If these symptoms have been present for a while, some of the damage may not be fully reversible with treatment

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Dietary B12 is mostly found in animal products: meat dairy eggs fish That means that vegans and vegetarians will need a supplement to make sure they get enough B12 in pregnancy