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Severe cases may cause fainting (syncope), which requires immediate medical evaluation

Pathogenesis of endometriosis: the role of genetics, inflammation and oxidative stress

Measuring serum biomarkers such as B 12 or MMA is neither helpful nor indicated in assessing or monitoring clinical improvement

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doi:10.15190/d.2016.1 Nicolson GL, Ellithorpe R

Optimizing effectiveness: Proper site selection and rotation ensure the medication is delivered effectively