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Pregnant patients should discuss B12 supplementation needs directly with their OB provider

Given by a licensed RN, side effects are usually limited to brief soreness, redness, or mild swelling at the injection site

Difficulty concentrating or memory problems

The sixth coordination site, the center of reactivity, is variable, being a cyano group (-CN), a hydroxyl group (-OH), a methyl group (-CH3) or a 5-deoxyadenosyl group (here the C5 atom of the deoxyribose forms the covalent bond with Co), respectively, to yield the four B12 forms mentioned above

It is the most potent peptide for muscle growth but also carries more risk than the others in this section