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Yao J, Shen L, Chen Z, Zhang B, Zhao G

In addition, Tat exposure can lead to elevated intracellular reactive oxygen species (ROS) levels and cause apoptosis (Toborek et al

Therefore, parenteral cyanocobalamin should be administered to a pregnant woman if the benefits outweigh the risks.[15][16] Cyanocobalamin is excreted in the breast milk of nursing women in levels similar to the level of vitamin B12 in maternal plasma.[25] The distributed cyanocobalamin in breast milk has been found to be compatible with breastfeeding by the American Academy of Pediatrics.[26] In addition, there has not been any reports of adverse effects associated with the intake of normal daily requirements of vitamin B12 during lactation

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It should not be considered an alternative to medical advice or pharmaceutical prescriptions from your health care provider