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B12 injections are very safe

In the absence of safety data, most clinicians advise that pregnant or breastfeeding individuals avoid this compounded preparation unless the anticipated benefit clearly outweighs theoretical fetal or neonatal risks

Excessive doses can leads to potential risks such as inhibition of breast milk production

Potential Synergistic Supplementation of NAD+ Promoting Compounds as a Strategy for Increasing Healthspan

In the end, choosing between methylcobalamin and cyanocobalamin should match your health goals and what your doctor recommends

Methylcobalamin is also used in the treatment of anemia, a condition where the body does not produce enough red blood cells