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In a larger crossover study involving 84 healthy adults, daily consumption of 100 g fresh or pasteurized sauerkraut for 4 weeks produced no significant changes in overall gut microbial composition, as assessed by shotgun metagenomic sequencing (Schropp et al., 2025)

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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

It should not be considered an alternative to medical advice or pharmaceutical prescriptions from your health care provider