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Low B12 can happen for different reasons

Lactation : There are no data on the presence of Semaglutide in human milk, the effects on the breastfed infant, or the effects on milk production

mdpi.com A firstinhuman tolerability trial administering IV BPC-157 to healthy volunteers showed good safety profiles at doses up to 0.5 mg/kg, setting the stage for future clinical pharmacokinetic and safety assessments

Impact of oxidative stress in fetal programming

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Whilst true toxicity from too much vitamin B12 is exceptionally rare due to the body's natural excretion mechanisms, elevated B12 levels can occur and may signal underlying health conditions