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Long-term use of Betnesol in pregnancy may cause adverse effects on the baby

So, you measure a higher B12, but part of that B12 is inactive, so useless Oral B12 supplementation, even in the form of a multivitamin preparation, may result in serum B12 concentrations just within the normal range without abolishing symptoms

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10.1002/jcp.29925 17 ChenZ.TangZ.LiW.DengX.YuL.YangJ.et al (2024b)

Goncharova, N., Vengerin, A., Khavinson, V., & Lapin, B