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Metabolism Metabolism affects how quickly the body uses B12

Clinical services, including medical consultations and prescribing decisions, are provided by independent, licensed healthcare providers who exercise their own professional judgment

Vitamin B12 injections, typically hydroxocobalamin in the UK, are evidence-based therapies for confirmed B12 deficiency, treating conditions such as pernicious anaemia and malabsorption syndromes

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doi: 10.1523/JNEUROSCI.2116-06.2006

Similarly, losing a lot of weight or becoming underweight (BMI less than 20) can delay periods as well, particularly in the context of any disordered eating