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[44] Maternal vitamin B12 deficiency during pregnancy can lead to neural tube defects, impaired brain development, preterm birth, and low birth weight

But some patients absorb less than expected and need additional sublingual or IM B12

If you do, simply eject the hormone back into the vial and try again (without pulling the needle out and into the vial again- that will dull it too much and make your injection hurt)

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