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Indian heart journal , 76 Suppl 1 (Suppl 1), S121S129

The most common clinical manifestations are recurrent seizures associated with fever, usually occurring in the neonatal period, early infancy or early childhood

Pumping, especially using modern pumps with customizable settings, effectively mimics the mechanical aspects of infant suckling 32 , thus encouraging a similar positive feedback loop that sustains milk production while removing direct nipple contact between mother and infant

What we care about most, though, are interventional studies, where people are randomized to B12 so we can see what happens, and when we look at those, we find there is no increased fracture risk among those given B12