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Vitamin B12 is an essential nutrient that plays a vital role in many of your bodys functions, including DNA synthesis, red blood cell formation, and nerve function

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Any appetite change is secondary

For references and more information , see the section on Vitamin B 12 in the Pregnancy and Lactation article

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For example, testing one or both of the functional measures of vitamin B12, MMA (methylmalonic acid) and homocysteine, perhaps especially when values are in that so-called grey zone between 150 and 300 pmol/L or so