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For some individuals, the fear of experiencing pain during bowel movements can create a cycle of avoidance, leading to further constipation and associated symptoms

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for the baby, reduced movement for 24 to 48 hours (NHS) These are usually mild and monitored

HealthLinkBC: Quick Nutrition Check for Vitamin B 12 HealthLinkBC: Vitamin B 12 Deficiency Anemia HealthLinkBC: Getting Enough Folic Acid HealthLinkBC: Folate and Your Health HealthLinkBC: Folic Acid Oral HealthLinkBC: Pregnancy and Nutrition: Folate and Preventing Neural Tube Defects HealthLinkBC: Folic Acid Test Health Canada: Canadian Nutrient File National Institutes of Health: Vitamin B 12 Fact Sheet for Consumers National Health Service (NHS): Patient Factsheet: Vitamin B 12 Deficiency This guideline is based on scientific evidence current as of the effective date

Bruce HR Wolffenbuttel About the author Bruce Wolffenbuttel is a Professor Emeritus MD PhD and an expert in endocrinology, metabolic diseases, and diabetes, with numerous published papers to his name

2019;32(5):e13006