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Breastfeeding women require 2.8 mcg

There are other alternative forms for B-12 administration which includes monthly intramuscular injection, sublingual (under the tongue) liquids or sprays, or nasal spray which more adequately enable absorption. (Source) The current ASMBS recommendations for VSG (which are summarized here) list a B-complex vitamin (which includes B-12) as optional but doesnt elaborate on how it should be taken

administration for when intraarticular administration is not practical or desired Safe and efficacious Provides multimodal approach against the cycle of inflammation and lameness Stimulates endogenous hyaluronic acid production Creates a physical barrier to exclude inflammatory mediators Decreases the presence of inflammatory mediators From the manufacturer

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