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RELATED: 6 types of medications that could have a vitamin interaction Other things that may make birth control less effective Additional factors that may cancel out hormonal birth control include: Imperfect use of birth control with perfect use, birth control pills are 99% effective, but missing one or more active pills during your menstrual cycle makes you more likely to get pregnant

The elderly (reduced absorption) Pernicious anemia Vegetarians / Vegans (low dietary B12) People taking metformin or acid reflux medications (PPIs) Post-bariatric or gastric-bypass patients Genetic variants in MTRR , MTR , or TCN2 What Has B12 Been Studied For

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These programs commonly offer compounded and pharmacy-dispensed options