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(5) Summary If you dont have risk factors for poor absorption, you can take your liquid B12 orally or mix it with your beverage

J Clin Endocrinol Metab 102(11):42004209

Hence, inform your doctor if you are taking any antidiabetic medicines

If needed for a clear medical indication (such as treating pellagra in a pregnant patient), niacinamide can be used with caution, but unnecessary high-dose B supplementation is avoided in pregnancy