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Patients with pernicious anemia This autoimmune condition destroys intrinsic factor, the protein required for B12 absorption in the small intestine

Teens & Adolescents need about 2.4 mcg daily Adults need about 2.4 mcg daily Pregnant Women need about 2.6 mcg daily Breastfeeding Women need about 2.8 mcg daily How do we naturally get Vitamin B12

However, its recommended that people who are pregnant or breastfeeding have 2.6 and 2.8 micrograms of B12 a day, respectively, per the NIH says

Regarding the medical management of certain pregnancy complications, intravenous magnesium sulfate causes blood vessel dilation in the brain and periphery and is used by physicians to prevent seizures that may occur in association with preeclampsia-eclampsia in late pregnancy or during labor