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Schneede suggests follow-up testing when B12 values are 150-250 pmol/l

B12 or folate deficiency during pregnancy or while nursing can lead to severe neurological damage or birth defects in the fetus or infant

For iron deficiency anaemia in pregnancy (a related issue), they have stated that it is not clear if pregnant women with mild to moderate IDA will benefit from treatment and theres a lack of evidence on benefits and harms associated with screening. Similar reasoning might apply to B12 deficiency in the absence of strong evidence of benefit from routine screening

Are you exploring its effects on adipose tissue metabolism

Follow up visit with a medical provider to evaluate your progress