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A meta-analysis encompassing 8 cross-sectional and casecontrol studies published recently found that NAFLD cases had same vitamin B12 concentrations compared with those without NAFLD (23)

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But ensure you have robust methods for assessing actual systemic exposure

Study design would need serial milk sampling at defined intervals post-dose, paired maternal plasma samples to calculate milk-to-plasma (M/P) ratios, and long-term infant follow-up to monitor developmental milestones
