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They found that 529 women were exposed in that 8 week period, and those women did have: The authors noted though, it was hard to isolate the effects to the medication itself or the health factors associated, particularly rebound weight gain on top of gestational weight gain in pregnancy which may increase the risk of some of these concerns also

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Inject air into the vial, shake it instead of swirling it, store it in the refrigerator door instead of the main shelf, or let it sit at room temperature for three hours while you prep your workspace

According to Johns Hopkins Medicine, a lack of vitamin B12 may result in vitamin B12 deficiency anemia