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No adverse fetal effects have been documented from normal therapeutic doses of hydroxocobalamin in human pregnancies

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Always proceed with extreme caution and thorough preliminary research when combining agents

Documentation must specify both anatomical sites and confirm that clinically necessary treatment was performed on each side

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[23] Increased longitudinal cohort studies or randomised controlled trials are required to understand the mechanisms between vitamin B 12 and metabolic outcomes, and to potentially offer interventions to improve maternal and offspring health