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Breastfeeding Cyanocobalamin is excreted in the breast milk of nursing women in levels similar to the level of vitamin B12 in maternal plasma (18)

In individuals with nutritional deficiencies (e.g., strict vegetarians without supplements), injections may be given less frequently or replaced by oral supplements once levels stabilize

Chang emphasizes that selecting the most appropriate location can make a significant difference in how quickly and efficiently the body absorbs the vitamin

Injections are usually given as hydroxocobalamin or cyanocobalamin and are very effective in increasing blood B12 levels and preventing deficiency