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Pregnancy If you are pregnant or breastfeeding, you may not be suitable for B12 injections, but it is still safe for you and your baby if you take a limited dose of B12 orally

You should always tell your provider about: Current medications and supplements Known allergies Pre-existing medical conditions When to contact your provider: If you experience a persistent headache, severe muscle weakness, or a rash that lasts longer than 24 hours, please call your provider

High dose oral supplementation is an effective alternative to parenteral treatment Randomized studies of daily high oral doses of 1,0002,000 g have shown equivalence or superiority to injected B 12

Clear communication and diligent checks are crucial to keeping the patient safe and achieving the optimal outcome