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Using expired vials introduces uncontrolled variables that compromise study reproducibility

[18] Lactation studies demonstrate that maternal injections modestly elevate breast-milk B12 concentrations without adverse infant outcomes, supporting compatibility with breastfeeding while underscoring the need for maternal repletion to prevent neonatal deficiency

However, there is a low risk of vitamin B12 toxicity because the body only utilizes what it needs and eliminates the excess

Vitamin B12 is essential for DNA synthesis, a fundamental process for cell growth and function