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For pernicious anaemia without neurological involvement , the standard UK protocol recommended by NICE involves an initial loading phase followed by maintenance therapy

Individuals with gastrointestinal disorders such as Crohns disease or celiac disease are likely to suffer from impaired B12 absorption

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Contraceptives This might seem counterintuitive (arent birth control pills supposed to regulate your cycle?), but hormonal contraceptives such as continuous dose estrogen/progesterone pills, the Depo-Provera shot, the birth control implant, and certain intrauterine devices (IUDs) can cause your period to not occur on time, according to Ella Speichinger, MD, an OB-GYN at University of Missouri Health Care