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However, because B12 is stored in our livers, it might take a while for these deficiencies to show (Glass, 1959)

In the absence of safety data, most clinicians advise that pregnant or breastfeeding individuals avoid this compounded preparation unless the anticipated benefit clearly outweighs theoretical fetal or neonatal risks

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Oral doses up to 2000 mcg a day may be needed to get enough vitamin B12 in the blood