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These reactions are typically the result of taking high doses of a supplement, according to Mayo Clinic

Initially, doses are given daily or weekly until levels normalize and maintained monthly afterward

However studies in both humans and dogs have demonstrated oral supplementation of cyanocobalmin will correct B12 deficiencies (3)

While B12 is essential for fetal development, and deficiency during pregnancy can have serious consequences, any treatment should be coordinated with your pregnancy healthcare team