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Where a deficiency is suspected but serum levels are normal, other markers can be used to confirm a deficiency

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The absorption of vitamin B12 requires something called intrinsic factor, which is a protein found in stomach acid

Room temperature (lyophilized): Stable for several weeks when sealed and protected from light
Vitamin B-12 status in infancy is positively associated with development and cognitive functioning 5 y later in Nepalese children1
