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Adequate maternal pyridoxine levels are important for fetal development, and the vitamin is present in prenatal vitamins in amounts roughly equivalent to the Recommended Dietary Allowance (around 1.9 mg per day for pregnant women)

In addition, factors unrelated to vitamin B12 status, and noted earlier, may have contributed to the seemingly normal or sometimes high levels of serum B12

Each of those symptoms can occur either alone or along with others