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Blood tests to rule out secondary causes such as iron deficiency, renal failure, peripheral neuropathy, or pregnancy

In a study that lasted for 1 year oral B12 was taken daily for 8 weeks and then just 1,000 mcg a week for weeks 9-52

For deficiency or symptoms I replete b12 IM

It plays a vital role in the reproductive health system of women while actively functioning in menstruation and ovulation, thyroid function, energy production, immune function, and egg quality and maturation

This process supports reliable and repeatable outcomes in research applications