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Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.


woomen

Is it allowed to take Vitamin B11 during lactation?
Is it safe for a nursing mother and a child?

Soluble B group vitamin that is very abundant in green vegetables, legumes and fruits (citric fruits). It is actively excreted in breast milk with priority over maternal folate in such extent that may even cause maternal deficit. Exclusive breastfeeding meets the daily allowances of infant folic acid.The concentration is higher in mature milk (85 micrograms / L) than in colostrum and premature breast milk.Administration to nursing mothers increases slightly the usual concentration of folate in breast milk. Folic acid needs are increased during pregnancy and lactation (500-600 micrograms / day) and in case of taking anticonvulsant medication. No harmful effects have been observed by taking folic acid during lactation. Excess of folic acid is eliminated by the kidneys every day. No supplements are needed if diet and nutritional status are adequate. The American Academy of Pediatrics rates it as a mediation usually compatible with breastfeeding.WHO List of Essential Medicines 2002: compatible with breastfeeding.

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Types of risk

VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...

LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...

HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...

VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...

Scientific literature

The level of risk for breastfeeding is confirmed in these scientific publications:
  1. http://www.ncbi.nlm.nih.gov/pubmed/26084735
  2. http://www.ncbi.nlm.nih.gov/pubmed/26383056
  3. http://www.elsevier.es/en/linksolver/ft/pii/S1695-4033(15)00305-7
  4. http://www.ncbi.nlm.nih.gov/pubmed/24084052
  5. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3820052/pdf/nutrients-05-03920.pdf
  6. http://www.ncbi.nlm.nih.gov/pubmed/22585913
  7. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649471/pdf/362.pdf
  8. http://www.ncbi.nlm.nih.gov/pubmed/22852064
  9. http://www.ncbi.nlm.nih.gov/pubmed/22932279
  10. http://ajcn.nutrition.org/content/96/4/789.full.pdf
  11. http://www.ncbi.nlm.nih.gov/pubmed/23024859
  12. http://www.ncbi.nlm.nih.gov/pubmed/23111948
  13. http://www.ncbi.nlm.nih.gov/pubmed/22123635
  14. http://www.ncbi.nlm.nih.gov/pubmed/22296250
  15. http://onlinelibrary.wiley.com/doi/10.1111/j.1740-8709.2010.00276.x/epdf
  16. http://www.ncbi.nlm.nih.gov/pubmed/19056550
  17. http://www.ncbi.nlm.nih.gov/pubmed/17056807
  18. http://www.ncbi.nlm.nih.gov/pubmed/16802699
  19. http://www.ncbi.nlm.nih.gov/pubmed/15817867
  20. http://ajcn.nutrition.org/content/81/4/880.full.pdf
  21. http://whqlibdoc.who.int/hq/2002/55732.pdf
  22. http://www.ncbi.nlm.nih.gov/pubmed/11533352
  23. http://pediatrics.aappublications.org/content/108/3/776.full.pdf
  24. http://www.ncbi.nlm.nih.gov/pubmed/9989694
  25. http://www.ncbi.nlm.nih.gov/pubmed/9508012
  26. http://www.ncbi.nlm.nih.gov/pubmed/7735452
  27. http://www.ncbi.nlm.nih.gov/pubmed/7832045
  28. http://www.ncbi.nlm.nih.gov/pubmed/2525394
  29. http://www.ncbi.nlm.nih.gov/pubmed/3409858
  30. http://www.ncbi.nlm.nih.gov/pubmed/3565292
  31. http://ajcn.nutrition.org/content/45/4/661.full.pdf
  32. http://www.ncbi.nlm.nih.gov/pubmed/3673936
  33. http://www.ncbi.nlm.nih.gov/pubmed/3728001
  34. http://www.ncbi.nlm.nih.gov/pubmed/6685760
  35. http://www.ncbi.nlm.nih.gov/pubmed/6859917
  36. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1627853/pdf/archdisch00746-0055.pdf
  37. http://www.ncbi.nlm.nih.gov/pubmed/6685974
  38. http://www.ncbi.nlm.nih.gov/pubmed/6896957
  39. http://www.ncbi.nlm.nih.gov/pubmed/7424809
  40. http://www.ncbi.nlm.nih.gov/pubmed/7355792
  41. http://www.ncbi.nlm.nih.gov/pubmed/5464396
  42. http://ajcn.nutrition.org/content/23/6/843.full.pdf
  43. http://www.ncbi.nlm.nih.gov/pubmed/14278635
  44. http://ajcn.nutrition.org/content/23/6/843.full.pdf

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