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Common terminal sugars are N-acetylneuraminic acid (sialic acid) and fucose with sulfation of these terminal sugars providing many combinations (Lamblin et al., 1984
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Animal studies showed thyroid C-cell tumors at exposures much higher than clinical doses
[18] Lactation studies demonstrate that maternal injections modestly elevate breast-milk B12 concentrations without adverse infant outcomes, supporting compatibility with breastfeeding while underscoring the need for maternal repletion to prevent neonatal deficiency
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