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[9] Visual disturbances have been reported in patients with Leber hereditary optic neuropathy, and rapid B12 administration may precipitate optic nerve atrophy in this genetically predisposed population, mandating extreme caution or alternative therapy

But serious side effects like allergic reactions are rare

Pregnant women: 2.6 micrograms (mcg) per day Breastfeeding women: 2.8 mcg per day Nonpregnant women: 2.4 mcg per day Best foods with vitamin B12 during pregnancy Vitamin B12 is only naturally found in animal products, like fish, meat, poultry, eggs, and dairy