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Silverstein said he decided to investigate the over-prescribing of B12 shots, because "as an internal medicine resident, I have seen many patients come into the emergency department, and they were getting B12 injections without having a really good reason for it." His study could not determine why family physicians were prescribing it inappropriately including whether it was initiated by the doctor or at the request of the patient
Kubo, et al
[2] Normal doses are considered safe in pregnancy
However, there is no reason you cannot do it under general anesthesia if you and your surgeon decide thats the best option for you
