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Methods and analysis The study is an individually randomised double-blind placebo controlled trial in 800 pregnant Nepalese women randomised in a 1:1 ratio

Contraindications Hypersensitivity to Mecobalamin Leber's disease (a hereditary eye disorder) may worsen vision Use with caution in patients with renal disorders Availability Mecobalamin 1500 mcg Methylcobalamin B12 tablet Vitamin B12 supplement for nerves B12 for neuropathy Nerve regeneration supplement Peripheral neuropathy treatment Vitamin B12 for energy and anemia