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Description
No included study found a significant relationship between neonatal B 12 or homocysteine and ASD, although elevated neonatal homocysteine was biologically plausible as a risk factor due to its neurotoxic potential

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Initial Treatment Dosages for Severe Deficiency Adults with severe vitamin B12 deficiency often start with higher doses
"Nascobal (Cyanocobalamin, USP) Nasal Spray 500 mcg/spray 0.125 mL Rx only" (PDF)

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A delay of several days or occasional skipped months can be normal
