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vitamin B-12 injections at 6 wk of age, higher vitamin B-12 and lower tHcy and MMA concentrations were noted up to age 4 mo, suggesting that marginal vitamin B-12 status may be observed in breast-fed infants whose mothers are presumably eating a Western diet (36)

3 As of January 2026, 751,215 Medicare beneficiaries in Massachusetts had stand-alone Medicare Part D prescription drug coverage

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Sometimes, B12 deficiency triggers gastrointestinal symptoms, such as appetite loss, sore tongue and mouth, stomach discomfort, heartburn, nausea and even vomiting (Sobczyska-Malefora et al., 2021)