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While vitamin B 12 deficiency is not a primary test in newborn screening programs, a study showed that markers C3, C3/C2, and C3/C16 exhibit a negative correlation with maternal levels of vitamin B 12 in the first trimester of pregnancy, and thus may bear diagnostic value (Dayaldasani et al., 12 insufficiency or deficiency during the first trimester of pregnancy and adequate treatment

Several mechanisms have been implicated leading to Vit B12 deficiency, HHcy and increased levels of MMA ( Fig

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