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Higher-Caution Situations Extra medical supervision is important if you: have a history of reactions to injectable vitamins/cobalamins have significant kidney or liver disease are pregnant or breastfeeding are offered a compounded MIC B12 product without clear labeling of ingredients, concentrations, and compounding source The FDAs overview of compounding helps explain why quality can vary (see Compounding and the FDA: Questions and Answers )

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Dermatologica 131 , 421445 (1965)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 "Vitamin B12: Fact Sheet for Health Professionals"