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Blood tests to rule out secondary causes such as iron deficiency, renal failure, peripheral neuropathy, or pregnancy

Association of maternal vitamin B 12 and folate levels in early pregnancy with gestational diabetes: a prospective UK cohort study (PRiDE study)
This method bypasses the digestive system, allowing for faster and more efficient absorption of the vitamin

B12 and Intrinsic Factor Intrinsic factor is a protein secreted by the cells of the stomach lining
