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Therefore, parenteral cyanocobalamin should be administered to a pregnant woman if the benefits outweigh the risks.[15][16] Cyanocobalamin is excreted in the breast milk of nursing women in levels similar to the level of vitamin B12 in maternal plasma.[25] The distributed cyanocobalamin in breast milk has been found to be compatible with breastfeeding by the American Academy of Pediatrics.[26] In addition, there has not been any reports of adverse effects associated with the intake of normal daily requirements of vitamin B12 during lactation

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This helps with recuperation and muscle building without the problems that come with regular elevation

The concerns about long-term safety are real and, so far, unresolved

If your B12 level is found to be below normal, replacing that vitamin B12 is very important, explains family physician Kenneth Goodman, MD