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A diet that includes meat, fish and dairy products usually provides enough vitamin B12, but people who do not regularly eat these foods can become deficient

We also recognize that the evidence is less conclusive for individuals with normal B12 levels

Based on our present knowledge, if a person with Down syndrome is being evaluated for vitamin B12 and/or folate deficiency, we consider the following

That distinction is more important than most people realize because the Federal Food, Drug, and Cosmetic Act (FD&C Act) was designed to accomplish two important objectives

Vitamin B12 is sometimes added to support nerve health, which is important because people with diabetes have a higher risk of nerve damage