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Some patients benefit from a medication holiday or dose reduction

He said he lost the urge to snack, but still had energy to work out

Review of your symptoms, relevant medical history, medicines and supplements

Heres a simple table to show this: By knowing the B12 concentration and volume, doctors can make treatment plans that fit each patients needs

Alcohol can interfere with the absorption of vitamin B12, reducing the effectiveness of the treatment

We can have a nuanced conversation with the patient about taking the medication, what the benefits are, what the potential risks are, and help them formulate a plan to transition off the medication once theyre ready to start trying to conceive, she says