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Hydroxocobalamin is generally considered safe, but doses should be set by your prenatal provider

This allows assessment of tolerance before increasing

Always discuss your alcohol use with your doctor, especially if you are being treated for a deficiency related to poor nutrition or liver function

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Over weeks and months of therapy, this reduced intake can lead to declining B12 levels

This is especially true when the vitamin status is poor during the pregnancy and if the early-introduced foods fed to the still-breastfeeding infant are vegan