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Association of maternal vitamin B 12 and folate levels in early pregnancy with gestational diabetes: a prospective UK cohort study (PRiDE study)

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A result within the normal range (typically around 133675 pmol/L, though this varies by laboratory) generally indicates adequate vitamin B12 status , though symptoms may occasionally occur even with borderline-normal levels, particularly in individuals with increased metabolic demands or early neurological involvement

The organization also warns that since its not approved for human clinical use by any global regulatory authority, it may lead to negative health effects including immunogenic reactions (antibodies), peptide impurities, and limited safety data for proposed routes of use