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What Vitamins and Supplements Should I Avoid During Pregnancy?You should always clear it with your obstetrician before taking any vitamins or supplements while pregnant

and c) irregular dietary patterns), reduced bioavailability (impairment of the intrinsic factor-mediated absorption pathway, often due to the widespread and prolonged use of proton pump inhibitors), and malabsorption syndromes

For maintenance in chronic conditions, monthly injections are typical

Administered by intramuscular or subcutaneous injection

The recommendation: remove the vial from refrigeration 15-20 minutes before drawing the dose, or warm the filled syringe in your palm for 60 seconds before injecting