Amounts of vitamin B12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for lactating women (4 mcg daily) should be consumed during lactation
[16] Although cyanocobalamin lacks a defined upper-toxicity threshold due to its water solubility and renal elimination, exceptionally high cumulative doses have been temporally associated with acneiform eruptions, altered potassium homeostasis, and theoretical thrombotic risk, emphasizing the importance of evidence-based dosing
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If storing the medication at home, do not leave it in locations such as the bathroom or car, and keep the medicine out of the reach of children
Some compounded methylcobalamin products may specify storage at room temperature, refrigerated, or frozen prior to mixing
Frequency depends on your baseline, goals, and response