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Therefore, parenteral cyanocobalamin should be administered to a pregnant woman if the benefits outweigh the risks.[15][16] Cyanocobalamin is excreted in the breast milk of nursing women in levels similar to the level of vitamin B12 in maternal plasma.[25] The distributed cyanocobalamin in breast milk has been found to be compatible with breastfeeding by the American Academy of Pediatrics.[26] In addition, there has not been any reports of adverse effects associated with the intake of normal daily requirements of vitamin B12 during lactation

doi: 10.1002/jcph.1008 203 HauserRALyonsKEMcClainTCarterSPerlmutterD

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Its the molecule that mitochondria use to convert nutrients into ATP, and its a direct substrate for sirtuins, the proteins that regulate DNA repair, gene expression, and the cellular stress response

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