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This recommendation remains the same during pregnancy and breastfeeding, though ensuring adequate intake is particularly important for vegans during these periods
Most side effects are manageable, especially with gradual titration
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The meta-analysis by Wang and colleagues 137 included an unpublished trial (NCT00845507 145 ) that was not part of the more recent meta-analysis by Khaity and colleagues 134
Cifone MG, Alesse E, Di Marzio L, et al
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