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There isnt enough reliable information available to determine its safety during pregnancy and breastfeeding

Dose escalation patterns are adjusted individually to minimize this risk

severe thiamine deficiency, while rare, can cause Wernickes encephalopathy in hyperemesis gravidarum, and inadequate B is associated with anemia and neurologic issues in the newborn

And because there is a lack of sufficient safety evidence, peptide treatment is often avoided during pregnancy and while nursing

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However, this storage is not responsible for high vitamin B12 levels and such elevations are rarely due to excessive dietary intake 4 , 5