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Lactating women have higher daily needs for B vitamins (for instance, riboflavin 1.6 mg/day, niacin ~17 mg NE/day), because some of the maternal intake is secreted in milk to nourish the infant

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Still, side effects from B12 supplements are possible, especially at higher doses, and include: Headache Nausea Vomiting Fatigue Weakness Diarrhea Tingling in the hands and feet Nasal spray Vitamin B12 is also available in a nasal spray