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Hydroxocobalamin is considered safe for use during pregnancy and breastfeeding when clinically indicated
If blood tests show clearly low levels (thresholds vary by lab, but often below roughly 200 pg/mL) or there are signs of anemia, a provider may recommend weekly injections for the first several weeks as a correction or "rescue" phase
A healthcare professional uses a thin needle to deliver the concentrated B12 solution directly into the muscle tissue, usually in the upper arm or thigh
45 Because this study had no control group it is impossible to establish whether the observed benefits were due to a placebo effect
Baltimore, Md.: Johns Hopkins University Press
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