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This testing is added based on the criteria described above in When to test. In people without Down syndrome, studies have demonstrated that red blood cell folate and serum folate testing provide equivalent data

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It is generally not found in plant foods but many foods have added vitamin B12 such as breakfast cereals

And perhaps most important, was the test done at a time where the gastrointestinal tract still suffered from lack of B12, and because of that had a temporary decreased capacity for uptake of B12