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In the vegetarian diet, there are few sources of Cobalamin and its shortage can have serious implications
Lipotropic injections are generally not recommended during pregnancy or breastfeeding, for people with a known allergy to any component of the formulation (including B12/cobalt), for those with certain kidney or liver conditions, or for those with certain medical conditions
10.1128/iai.01876-14 179 SegalL