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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

This is particularly relevant for small, frequent doses from large vials

Adding less than 0.5 mL to any vial makes accurate dosing extremely difficult with standard syringes

Tablets must be absorbed through the gut, which is a problem for people with absorption issues such as pernicious anaemia

FDA approval requires an application with evidence on quality, safety, and effectiveness for a specific medical use

Do not adjust the timing or frequency without consulting your healthcare provider