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Pregnant or breastfeeding patients should discuss with their obstetric provider before starting this injection, and ensure all healthcare team members are aware, so that vitamin levels and any pregnancy-related effects can be monitored appropriately

These shots are administered via intramuscular injection (often referred to as IM) so there is no gastrointestinal metabolism, which also allows for increased nutritional absorption

Cyanocobalamin is the most common and stable form, while methylcobalamin is the active form that your body can use immediately without conversion

Microbiome 16S V1-V3 rRNA gene sequencing, alignment, and initial filtering were performed by BGI