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The medication may reduce the effectiveness of the pill, with experts recommending continuing contraception for at least two months after stopping attempted weight loss treatment before trying to get pregnant

The standard cycle consists of 8 weeks on treatment followed by 4 weeks off

Vitamin B12 supports energy production and red blood cell formation, which may help reduce fatigue associated with deficiency

Injections bypass the damaged area and deliver B12 into the bloodstream

However, understanding when high B12 levels may become problematic helps ensure safe, evidence-based supplementation under appropriate medical supervision