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Mol Syst Biol 6:392 Bleau C, Karelis AD, St-Pierre DH, Lamontagne L (2015) Crosstalk between intestinal microbiota, adipose tissue and skeletal muscle as an early event in systemic low-grade inflammation and the development of obesity and diabetes

At times a biopsy of the skin may be included in the evaluation as well

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Pregnancy and lactation: Maintaining normal vitamin B12 levels is especially important for pregnant and breastfeeding women, as low levels can affect fetal development and lead to developmental delays in breastfed babies

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