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However, because of the high levels of hCG in the maternal circulation during the first 13 weeks of pregnancy, hCG may be detected in maternal blood or urine for as many as 60 days after pregnancy termination in the first trimester.88 Prenatal Genetic Screening Measurements of serum hCG and its subunits in conjunction with alpha-fetoprotein, inhibin-A, and plasma unconjugated estriol have been employed in the prenatal diagnosis of chromosomal abnormalities in so-called multiple marker screening (MMS).89, 90 In pregnancies in which the fetus has trisomy 21, maternal serum hCG and inhibin-A levels are frequently elevated and -fetoprotein and unconjugated estriol levels are frequently reduced at or after 15 weeks of pregnancy

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Certain populations, including older adults and people following a vegan diet, are at a higher risk of vitamin B12 deficiencies and may benefit from taking a vitamin B12 supplement

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Store refrigerated and protect from light