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Rosenthal DI , Mohamed ASR, Garden AS, Morrison WH, El-Naggar AK, Kamal M, Weber RS, Fuller CD, Peters LJ

Because the baby depends on the mother's milk for vitamin B12 supply

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Common approaches include: 12 weeks on, 4 weeks off 16 weeks on, 6-8 weeks off Use only during specific fat loss phases, then discontinue Cycling provides periodic breaks that may allow the body to normalize

However, there are no well-controlled studies in pregnant women, so this medication is generally recommended during pregnancy only when clearly needed