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Women who are severely deficient in vitamin B12 during pregnancy have an increased chance of having a baby with defects or having the baby miscarried

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A COA documents third-party testing of the medication for: Identity (confirming the medication is what the label says) Potency (confirming the concentration matches the label) Sterility (confirming no microbial contamination) Endotoxin levels (confirming safety for injection) pH and stability If your pharmacy cannot or will not provide a COA, consider whether you are comfortable using their products