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If youre new to the issue, Vegan B12 Deficiency: Putting It into Perspective, and Safest Source of B12 are good places to start

doi: 10.1056/NEJMoa1811744 53 PfefferM

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Improvement with progesterone withdrawal or suppression: Resolution or marked improvement of symptoms after: Stopping progesterone containing medications Suppressing ovulation (and therefore progesterone production) This response strongly supports progesterone hypersensitivity