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These people may need direct supplementation with methylcobalamin or adenosylcobalamin rather than cyanocobalamin

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Verified every reference describes "what's being studied," "research mechanisms in models," "research domain"

However, these preclinical findings do not establish safety for use during human pregnancy, as species differences in placental transfer and fetal metabolism may exist

Only testing can tell you the answer, but a daily B12 injection schedule should be your starting point