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**Pediatric Patients:** Dosage should be determined by a healthcare professional based on the child's age, weight, and clinical condition

The FDA's 2023 Category 2 classification specifically restricts compounding pharmacies, while dietary supplements are regulated under DSHEA through a different pathway

2 Table 2 Clinical Manifestations of Vitamin B12 Deficiency Maternal vitamin B 12 deficiency during pregnancy or while breastfeeding may lead to neural tube defects, developmental delay, failure to thrive, hypotonia, ataxia, and anemia