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Of the total adverse events reported, 37% were gastrointestinal in nature [207 events in 73 (77%) of 95 participants], most frequently nausea [67 events in 53 (56%) participants], vomiting [43 events in 23 (24%) participants], and dyspepsia [32 events in 27 (28%) participants]

The US-FDA initially approved the drug in 1942.[7] However, the compound became widely available for routine use in the treatment of B12 deficiency in the early 1950s.[8] Mechanisms of Action Cyanocobalamin is a vital compound for cell division and growth, hematopoiesis, and nucleoprotein and myelin synthesis

However, because cuproptosis is a relatively recently defined cell death modality, the extent to which this mechanism operates across diverse physiological and pathological contexts remains to be fully established

The prudent advice: avoid unless your obstetrician specifically recommends it