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A person whose vitamin B12 levels are outside of the normal range will require treatment

The answer depends on your unique health needs and goals

Methylmalonic acid (MMA) is a blood test that seems to be a better measure of vitamin B12 deficiency than serum vitamin B12 level

doi:10.1186/s12944-018-0779-4

[42] Low maternal vitamin B 12 , defined as serum concentration less than 148 pmol/L, increases the risk of miscarriage, preterm birth and newborn low birth weight