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Amounts of vitamin B12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for lactating women (4 mcg daily) should be consumed during lactation

Bergmann et al

Under normal circumstances, the mouth is protected by a delicately balanced bio-system of enzymes and lubricants in saliva, allowing beneficial bacteria to flourish and inhibit the growth of pathogenic bacteria

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Most common side effects are gastrointestinal, including nausea, diarrhoea, and vomiting, particularly during initial treatment or dose escalation