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When results fall in this borderline range, a methylmalonic acid test is recommended to confirm whether a functional deficiency exists

This is why it's particularly important during periods of rapid growth, such as pregnancy and childhood

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Overgrowth of bacteria: Some people develop vitamin B 12 deficiency as a result of conditions that slow the movement of food through the intestines (diabetes, scleroderma, strictures, diverticula), allowing intestinal bacteria to multiply and overgrow in the upper part of the small intestine