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If they only get 1 month relief, then repeated injections are not a satisfactory option

The NHS reports that severe calorie restriction, such as with anorexia, bulimia, or similar eating disorders, sends a message to your brain to stop producing the hormones needed for ovulation (and if you dont ovulate, you wont have a true period, though you may still experience some vaginal bleeding)

Vitamin B12 is naturally found in animal-based foods, and a deficiency can lead to fatigue, weakness, and other symptoms

Loading phase (deficiency): 1000 mcg IM or subQ daily or every other day for 1 to 2 weeks Maintenance: 1000 mcg monthly is a standard maintenance dose for conditions like pernicious anemia Wellness protocols: may use lower doses weekly, though this is less established clinically In ml: cyanocobalamin is typically supplied at 1000 mcg/ml, so a 1000 mcg dose equals 1 ml