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The authors of the meta-analysis examined if maternal serum homocysteine levels, folic acid supplementation, or gestational age could explain the variation in the results, but none significantly explained the difference between studies

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Rogne T, Tielemans MJ, Chong MF et al (2017) Associations of maternal vitamin B12 concentration in pregnancy with the risks of preterm birth and low birth weight: a systematic review and meta-analysis of individual participant data

If your levels are normal, well help you explore other possible causes of fatigue to ensure you and your family receive the most appropriate and effective care