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Although available case reportsprimarily involving exposures during late gestationhave not indicated an association with congenital anomalies, evidence regarding first-trimester exposure is particularly sparse

The FDA has specifically flagged risks including dosing errors, variable concentrations, improper storage during shipping, quality control differences, limited adverse-event reporting, and products falsely marketed for research or non-human-use purposes

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So I tried to convince my doctor to give me B12 shots, but she wouldnt

For tryptophan, try seaweed, mushrooms, spinach, pumpkin seeds, turnip greens, asparagus, and red leaf lettuce