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these are less common but concerning if you are at risk [9]

We order vitamin B12 and folate testing when a person with Down syndrome we are evaluating has symptoms described above, has a lab abnormality for which follow up testing of vitamin B12 and/or folate is indicated, or the person has a condition in which deficiency is common (e.g., celiac disease)

, assistant professor of medicine at Columbia University Irving Medical Center and an adult endocrinologist at the Naomi Berrie Diabetes Center in NYC

Gradual Increases: Your dose is increased slowly over several weeks based on how you are feeling and responding to treatment