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Therefore, parenteral cyanocobalamin should be administered to a pregnant woman if the benefits outweigh the risks.[15][16] Cyanocobalamin is excreted in the breast milk of nursing women in levels similar to the level of vitamin B12 in maternal plasma.[25] The distributed cyanocobalamin in breast milk has been found to be compatible with breastfeeding by the American Academy of Pediatrics.[26] In addition, there has not been any reports of adverse effects associated with the intake of normal daily requirements of vitamin B12 during lactation

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It is also one of the three actives in the Peptual transdermal patch he endorses, alongside BPC-157 and NAD+: BPC-157: ~2000 mcg NAD+: ~250 mg GHK-Cu: ~10 mg The patch combines tissue repair (BPC-157), cellular energy (NAD+), and collagen synthesis (GHK-Cu) in a sustained-release format (source)