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Your body absorbs these B12 formulations differently, so you cant simply make B12 pills equal a shot dosage

When a medication is not financially feasible, an equivalent oral or combination therapy may be used instead

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No, berberine is not recommended during breastfeeding due to insufficient safety data and potential risks to the infant, including theoretical bilirubin displacement which could increase kernicterus risk in vulnerable infants

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Concentrations of proinflammatory cytokines including TNF-, C-reactive protein (CRP), and interleukin-6 (IL-6) are increased in diabetes (Nguyen 2012