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What the Evidence Actually Shows This is where I want to be straight, because the marketing runs way ahead of the data

Methylcobalamin is distributed into breast milk in amounts similar to those in maternal plasma, and distribution in breast milk allows for adequate intakes of methylcobalamin by breastfeeding infants

It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Green et al., 2017)

Dosage, Concentration, Route of Administration Dosage: Seek advice from a licensed physician, medical director, or other healthcare provider Concentration (per mL): B6 2mg, Methionine 12.4mg, Inositol 25mg, Choline 25mg Route of Administration: IM/SQ Available Sizes: 10mL and 30mL Resources: Tutorial: How to Open Your Medication Vial Not sure how to administer this medication