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Observations in birth control-induced B12 deficiency This argument is further strengthened by another observation researchers have made: women with vitamin B12 deficiencies caused by hormonal birth control dont experience hair loss or adverse changes to hair growth (9)

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Experiencing intolerable side effects

In these cases, oral supplements may not be effectively absorbed, making B12 injections a more reliable treatment option

A third major risk is dosing

TL;DR There is no single answer