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It is also not known whether vitamin B 12 can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity

That anxiety is valid

However, for those with inactive disease it may be reasonable to stop at the start of the third trimester, in line with peak foetal development[1]

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RUO educational content should emphasize documentation review, analytical review, and claim boundaries

Documentation of B12 status and monitoring plans in the medical record facilitates continuity of care and appropriate follow-up