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Levels then decreased each day thereafter to baseline 3 to 5 days after the dose.[9] Based on the milk levels reported, the three infants in this study received approximately 0.1 mcg/kg daily of extra vitamin B 12 in breastmilk for 4 to 5 days after the maternal dose

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Patients with early hereditary optic nerve atrophy, cyanocobalmin hypersensitivity, and those who are pregnant