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(2015) 2:ofv004

If symptoms are distressing or persistent after a three-month trial of dietary and lifestyle changes, an alternative approach using hormone replacement therapy with bioidentical hormones may be a good choice

Longitudinal human work is scarce

Possible Side Effects May include mild discomfort at the injection site, nausea, or allergic reaction (rare)

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If serum B12 is above 500 pg/mL with normal MMA, you are likely sufficient