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These conditions can lead to long-term B-12 deficiency if not managed properly

Other causes: uterine fibroids polyps endometriosis ovulation problems scar tissue in your uterus an intrauterine device adenomyosis some medications, such as anticoagulants and aspirin certain bleeding disorders Be sure to follow up with your healthcare provider if you: often feel weak, tired, dizzy, or lightheaded or have shortness of breath during or after your period need to change or restrict your daily activities because of your heavy periods or because of how weak or tired you feel often have periods that last longer than 7 days pass large blood clots during your period bleed through one or more pads or tampons every 1 to 2 hours To diagnose iron deficiency anemia, your healthcare provider will first take a medical and family history

B12 also helps the body convert food into energy

Low holotranscobalamin II or elevated MMA levels despite taking vitamin B12 supplements consistently is an indication youll need to discuss an alternative plan of action with your physician or plant-based dietitian