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[1] However, because B12 is water-soluble, the body typically eliminates excess amounts through renal excretion without adverse effects
Women who are or may become pregnant should avoid the compound entirely
It would remain the responsibility of Primary Care to diagnose and treat B12 deficient patients but they would have to choose to
A provider-supervised taper or switch to oral B12 supplementation is a reasonable alternative if MIC B12 proves unsuitable
Pregnant or breastfeeding patients should discuss with their obstetric provider before starting this injection, and ensure all healthcare team members are aware, so that vitamin levels and any pregnancy-related effects can be monitored appropriately
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