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Since human milk is the sole food the infant consumes during the first 4 to 6 months food for microbes is limited largely to HMO

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For women with vitamin B12 below 358.7 pg/mL, we infer supplementation could improve pregnancy outcomes by restoring homocysteine homeostasis and enhancing oocyte quality, consistent with randomized trials showing that combined B12 and folate supplementation reduces oxidative stress and supports embryo development [7, 8]

The less efficient oxygen transport can also cause fatigue and weakness

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