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Pregnant or breastfeeding women should avoid lipotropic injections unless specifically prescribed for documented B12 deficiency

Pernicious Anemia:Higher dosages, such as 1000 mcg to 5000 mcg, may be used initially for treating pernicious anemia.The frequency and duration of treatment will depend on the patient's response and overall health

If a procedure is scheduled in advance of the encounter, the medical necessity for that procedure has already been determined and the treatment has already been decided

In addition, there has not been any reports of adverse effects associated with the intake of normal daily requirements of vitamin B12 during lactation

Reference materials. NIST

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