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It is important to consider the patients preference in the treatment approach and to provide appropriate counseling on the risks, side effects, and cost, because endometriosis is a chronic disease that will require long-term treatment

The following symptoms of vitamin B12 deficiency are listed by Bupa: Feeling very tired Breathlessness even after little exercise Heart palpitations Headaches A reduced appetite A sore mouth and tongue Avoiding vitamin B12 deficiency Experts say adults aged 19 to 64 require around 1.5 micrograms (mg) a day of vitamin B12, and you should be able to get this through your diet

In addition, regular monitoring of thyroid parameters every 46 weeks is essential when adjusting concomitant medications

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