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A blood test is given to determine levels at the time of consultation

"The anaerobic biosynthesis of vitamin B12" (PDF)

A potential caveat in this study is that not all women will have poor vitamin B 12 status, and if the proportion of women with adequate status is high, this will reduce our statistical power which may result in failure to detect important differences

The two values are comparable both from low-receptor-density cAMP assays (Coskun 2022 explicitly used Willard 2020's method), with a small cross-lab offset (~1.2, gauged from native-ligand controls) so treat the ~16 as a ratio rather than an exact multiple

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