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In addition to birth control, a progestin-releasing IUD may be prescribed to help manage heavy bleeding and painful periods in women with fibroids, endometriosis, adenomyosis, or endometrial hyperplasia. Do Progestin-Releasing IUDs Shrink Fibroids

Effect of combination folic acid, vitamin B6 , and vitamin B12 supplementation on fracture risk in women: a randomized, controlled trial

JAMA 289 , 187193 (2003)

The appropriate strategy depends on age, medical history, symptoms, family history, medications, previous results, and whether a finding would change clinical decision-making

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This is good news fat is your friend and tends to make the injection fairly painless