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Propionylcarnitine (C3) and its ratios with acetylcarnitine (C3/C2) and palmitoylcarnitine (C3/C16) In addition to the four canonical markers discussed above, vitamin B 12 deficiency leads to accumulation of propionylcarnitine (C3) (Sarafoglou et al., 2011), which is a marker of methylmalonic aciduria and propionic acidemia

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The NHS recommends that vegans and many vegetarians should take a B12 supplement preconception, during pregnancy and whilst breastfeeding

Its worth mentioning that the content and level of detail in a vitamin B12 injection course can differ depending on the provider or institution offering it

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Adequate vitamin D levels are important for maintaining normal immune system function, musculoskeletal health, and overall physiologic balance