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If this form of B12 was present in the mother during pregnancy it would be this form of B12 (the inactive Co(II)B12) that would have stocked the brain, with the result that the child would be born with what seems to be adequate vitamin B12 levels, however, the child would be functionally deficient in vitamin B12

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It is important for the nurse to carefully assess cardiovascular, pulmonary, and kidney function throughout the acute and recovery phases of HHS to ensure appropriate management and prevent complications