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Description

First-line treatments usually consist of hormonal treatmentsuch as a hormonal IUD (coil) or continuous use of a birth control pillcombined with a non-steroidal anti-inflammatory drug (NSAID) like naproxen

Blood tests measuring serum B12 and, if appropriate, methylmalonic acid or homocysteine levels can clarify your B12 status

Canadian Medical Association Journal 1999;161:1469

[4] Patients should never adjust dosing of either medication without medical supervision and should report any concerning symptoms to their healthcare provider promptly