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This effect is believed to come from B12s support of neurotransmitters such as serotonin and dopamine, which influence cognitive function and emotional balance

alternative contraceptive methods should be considered for 4 weeks after starting treatment and after each dose increase

The cause of heavy menstrual bleeding is unclear in some circumstances, but menorrhagia may be caused by a variety of conditions

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Symptoms include a burning sensation, pain, and excessive vaginal discharge, which significantly affect the quality of life (Spaggiari et al., 2022)