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The primary forms of injectable B12 are cyanocobalamin and hydroxocobalamin, typically administered intramuscularly in the arm or thigh

Amounts of Vitamin B12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for pregnant women (4 mcg daily) should be consumed during pregnancy

- An elevated homocysteine with an elevated MMA indicates a B12 deficiency but does not eliminate the possibility of a folate deficiency

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When traveling, the medication should be transported in an insulated container with ice packs if refrigeration will not be available, taking care to prevent direct contact between the medication and ice to avoid freezing