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This is because the metabolic processes required to grow a baby produce a natural increase in oxidative activity

It appears that maintaining adequate blood levels of the vitamin, like through supplementation, does improve birth outcomes ( SUMMARY A vitamin B12 deficiency can cause a range of mild to severe side effects, including anemia, weakness and fatigue, and birth defects in infants

In addition, the catalytic process is affected by other factors, such as temperature and pH

Never leave a reconstituted vial at room temperature for extended periods between uses

Singarayar MS, Chandrasekaran A, Balasundaram D, Veerasamy V, Neethirajan V, Thilagar S, Prebiotics

Your clinician will check whether you actually need it before deciding on dosage or frequency