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There are other large RCTs where similarly high doses of vitamin B 12 have been given together with other micronutrients.31 32 These studies found that the micronutrient mixture that included high doses of vitamin B 12 reduced the risk for small for gestational age (SGA) with no adverse effects

For others, it can take longer, especially if symptoms have been present for months or if there are multiple contributing factors (iron, vitamin D, thyroid issues, sleep, stress, etc.)

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