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Recommendation : Vitamin B-12 (as cyanocobalamin) 2,500mcg or more, can be combined with Folic Acid 400 to 800 mcg, dissolved slowly under the tongue, the morning or early afternoon, once daily, or as directed by your healthcare provider

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That said, the authors emphasized the need for more research, especially on the diets long-term impact. Takeaway Long-term adherence to the keto diet, especially when coupled with significant weight loss, can lead to irregular periods or their discontinuation

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