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How B12 Deficiency Disrupts Your Brain Vitamin B12 controls your nervous system, and when levels drop below 300 picograms per milliliter, your brain sends distress signals that create panic attacks

The second most common complaint in the first 24 hours is nausea, this is usually controlled with IV medications as well, most of the nausea is gone within 24 hours

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Estrogen Therapy: In cases of very low estrogen (e.g., in primary ovarian insufficiency or extremely low body weight), estrogen therapy might be considered, often in combination with progestin, to protect bone health and potentially regulate cycles