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The manufacturer recommends mothers refrain from breastfeeding their infants during oral therapy

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However, symptoms are far more likely to be related to underlying conditions that cause B12 elevationsuch as liver disease, kidney dysfunction, or haematological disordersrather than the elevated B12 itself

Additionally, factors such as the patients compromised immune system, full-thickness skin defects caused by surgery, and extensive open wounds significantly increase the risk of wound infection and chronic inflammatory wound formation