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Refrigeration Required Other lipotropic formulationsespecially those with higher concentrations of Vitamin B12 or without preservativesrequire refrigeration to prevent degradation and bacterial contamination

In Europe and the USA, vegans and vegetarians are aware that there is a risk of B 12 deficiency that can result in poor neurodevelopment and other adverse outcomes.33 Many therefore take additional supplements with similar high doses of B 12 during pregnancy

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