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This article provides evidence-based guidance aligned with UK clinical practice, MHRA safety information, and NICE recommendations

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Guidelines urge shared decisions on indefinite therapy.[15][8][2] For Indian contexts like Gujarat, affordable access and cultural diets challenge adherence

Chen, J., Song, J., Dai, L., Post, S

[22] B 12 deficiency in pregnant women is increasingly common [23] and has been shown to be associated with major maternal health implications, including increased obesity, [23] higher body mass index (BMI), [24] insulin resistance, [22] gestational diabetes, and type 2 diabetes (T2D) in later life

Some also report worsening acid reflux or new symptoms of gastroesophageal reflux disease (GERD)