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For those with neurological symptoms, hydroxocobalamin 1 mg is given on alternate days until no further improvement is observed, as recommended by NICE guidance and the product information

Pyridoxine is also considered safe during lactation in normal amounts, although exceedingly high doses might transiently suppress prolactin levels and were historically used (in much larger doses than nutritional needs) to suppress lactation

doi:10.1038/s41598-021-03670-5

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