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Mecobalamin - NCI Drug Dictionary [Internet]

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

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Interestingly, although no human trials have been conducted to test its efficacy, at least a few clinics in the US provide oral doses of 5-amino-1MQ to their clientele