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Amounts of vitamin B12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for lactating women (4 mcg daily) should be consumed during lactation

Fever, vomiting, and reduced appetite deplete fluids and nutrients rapidly, and a compromised digestive system absorbs oral supplements poorly

2001 Oct;25(10):1442-9

A vitamin B12 deficiency can lead to fatigue and other health-related issues

It falls under the S0 category of Non-Approved Substances, which is a catch-all classification for any pharmacological substance that isnt approved for human therapeutic use and is not addressed elsewhere on the list