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Cyanocobalamin is distributed into breast milk in amounts similar to those in maternal plasma, and distribution in breast milk allows for adequate intakes of cyanocobalamin by breast-feeding infants

[DOI] [PubMed] [Google Scholar] 27.Canto C, Menzies KJ, Auwerx J

We usually test before starting treatment, then after 1-3 months

For topical applications, mild irritation, redness, or itching at the application site are the most commonly reported observations