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I can appreciate the reasoning for not doing a B12 assay when checking her ferritin [or whatever iron indicator] but checking B12, Folate and Ferritin at the outset is probably wisest

Biofortification Biofortification refers to a strategy where conventional plant breeding techniques, genetic engineering, and agronomic interventions are used to enhance the nutrient content of food crops

Recently, a human gene mutation of PAPP-A2, a circulating and tissue protease with IGFBP-5 (and to some extent IGFBP-3) as its primary substrate (Gaudamauskes et al), was demonstrated to have a marked growth phenotype involving fetal and post-natal growth retardation in children in a consanguineous family (43)

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PubMed Stanley TL, et al