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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)

[DOI] [PubMed] [Google Scholar] 135.Okuda K., Fu H.Y., Matsuzaki T., Araki R., Tsuchida S., Thanikachalam P.V., Fukuta T., Asai T., Yamato M., Sanada S