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2 Table 2 Clinical Manifestations of Vitamin B12 Deficiency Maternal vitamin B 12 deficiency during pregnancy or while breastfeeding may lead to neural tube defects, developmental delay, failure to thrive, hypotonia, ataxia, and anemia

Getting a b12 injections after fatigue blood test is the most reliable way to find out whether low B12 is the cause

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A great resource to check out beforehand is this guide on what to expect from a B12 blood test