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Notes that high-dose niacin passes into breast milk and that lipid-altering doses could pose risks to nursing infants, recommending caution or avoidance of such doses during breastfeeding)

cannot be legally marketed as a dietary supplement or medication

People with kidney disease B12 injections may stress already-compromised kidney function

Because the vitamin deposits into muscle rather than entering the vasculature immediately, intramuscular delivery produces a sustained release effect

signs of an allergy may include rash, hives, itching, or even anaphylaxis (a severe allergic response) in highly sensitive individuals

The research has shown that some benefits of using Vitamin B12 as an adjunct treatment in dairy cows are: Increased cure rates of ketosis Increased milk production (especially in cows with low blood glucose) Increased rumination after LDA surgery The reasoning why B12 helps with low glucose cows is that these cows are likely suffering from fatty liver to some extent - which limits the livers ability to make energy