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Its important to understand that there can be significant differences in the effectiveness of B12 depending on its quality and what is, or is not, combined with it

Lactating women have higher daily needs for B vitamins (for instance, riboflavin 1.6 mg/day, niacin ~17 mg NE/day), because some of the maternal intake is secreted in milk to nourish the infant

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Elderly patients may be more sensitive to the medications effects and may require slower titration or lower maintenance doses, particularly if they have reduced renal function or are at higher risk for dehydration from gastrointestinal adverse effects

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MaryRuth's supplements are also third-party tested to ensure purity and potency