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Kotecha immediately recognized perimenopause and explained that my symptoms werent separate problemsthey were all connected to hormonal changes

[74, 75] also warned that research on vitamin B supplementation gives contradictory results without scientific evidence for cognitive improvement

8) with a commensurate enhancement in ABR wave-I amplitudes (Fig

Environmental factors such as heavy metal toxicity [1012], sub-clinical viral infections [13] and gastro-intestinal pathology [14, 15], as well as endogenous toxins produced by metabolic processes [16], hormones (reviewed in [17]) and gastro-intestinal bacteria [18, 19] have also been suggested as playing a role in the aetiology of the disorder, although none of these have been thoroughly investigated

If serum levels are normal on oral supplementation, adding injections provides no additional benefit

The downside of skipping it is much larger.