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It can harm the developing fetus or the nursing infant
For example, a 10mg vial with 2mL of water results in a 1:2 ratio (5,000mcg per mL)

J Control Rel , 73:137-172, 2001

Treatment depends on the cause: vitamin B supplementation for deficiency, blood sugar control for diabetic neuropathy, cooling foot soaks, and appropriate footwear