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[18] Lactation studies demonstrate that maternal injections modestly elevate breast-milk B12 concentrations without adverse infant outcomes, supporting compatibility with breastfeeding while underscoring the need for maternal repletion to prevent neonatal deficiency
This is not an issue with an injection (since IM/IV bypasses the gut), but if a patient is also taking oral supplements, they should separate them from tetracycline dosing
NAD+ therapy aids mitochondrial health, energy, cognition, and inflammation.[20][33][39] IV forms provide rapid boosts, with studies showing safety and efficacy in fatigue reduction
One note:alcohol consumption can drastically deplete B vitamins (especially thiamine and folate)
