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JAMA Network Open

Any administration, ingestion, injection, inhalation, transdermal application, or other form of bodily introduction into humans or animals is strictly prohibited and may constitute a violation of applicable federal, state, and international laws

However, injectable products marketed for human use without FDA approval are considered unapproved new drugs

B12 also helps prevent complications like preeclampsia and preterm birth by regulating homocysteine levels, promoting healthy placental and vascular function