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Research has also found that B12 can help reduce the risk of neural tube defects in pregnant women, and it is recommended that pregnant women consume plenty of B12-rich foods

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According to OBRA, the use of antidiabetic medications should include monitoring (e.g., periodic blood glucose) for effectiveness based on desired goals for that individual and to identify complications of treatment such as hypoglycemia or impaired renal function

This is a very high dose of vitamin B12, over 400 times the recommended daily intake for adults