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The distributed cyanocobalamin in breast milk has been found to be compatible with breast feeding by the American Academy of Pediatrics

Certain medications, such as proton pump inhibitors and metformin, can deplete vitamin B12 in the body and lead to an increased requirement

10.1369/jhc.4A6339.2004 99

Serious or Rare Side Effects These are less common but require immediate medical attention : Severe nausea or vomiting leading to dehydration Persistent stomach pain (which could indicate pancreatitis) Gallbladder issues such as gallstones or inflammation Rapid heartbeat or dizziness Allergic reactions (rash, swelling, or difficulty breathing) Who Should Be Cautious