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In these circumstances, a doctor may recommend vitamin B12 injections

Research from the National Institutes of Health demonstrates that modern industrial environments contribute to widespread nutrient depletion, particularly affecting B12 levels in urban populations

AnemiaAnemia (lack of blood) symptoms can vary depending on the cause

Additional References Understanding Endometriosis: From Symptoms to Treatment - FDA About Endometriosis - US Department of Health and Human Services National Institutes of Health

If supplements are the cause, your clinician may suggest reducing the dose or switching to a standard multivitamin, then rechecking later