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At 6 months postpartum, average milk vitamin B 12 levels were 640 and 470 pmol/L (866 and 642 ng/L), respectively, and were not significantly different.[48] Average milk vitamin B 12 levels in 25 Danish mothers ranged from 300 to 700 pmol/L (405 to 950 ng/L) from 2 weeks to 9 months postpartum
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The frequency depends on your doctors advice
Of course, you can use your BFST while you're on the plane

Current treatments are largely palliative and do not address the underlying fibrosis