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Data availability Uncropped western blot images are provided in Supplementary Fig

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Child and maternal characteristics as covariates Child and maternal characteristics were collected through maternal interviews at the time of study enrollment within 2472 h of delivery and electronic medical records (EMR) abstraction

After reviewing literature and conducting a two-round Delphi survey with 42 experts, a consensus emerged that emphasizes prioritizing clinical symptoms in diagnosis, with serum B12 as a screening marker supported by methylmalonic acid or homocysteine levels for additional confirmation

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