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Tesamirelin is a bit more long lasting than Sirmirelin, and therefore is taken typically about three times per week, not five times per week

PMID 30074676

If the cause isn't dietary then it is an absorption problem so you need to find another way of replenishing B12 initially

ENDOMETRIOSIS: nutritionists Point of View Nutrition and Endometriosis Although the pathophysiology of endometriosis is multifactorial, involving hormonal, immunological, genetic, and environmental contributors, growing attention has been given to the role of nutrition as both a modifiable risk factor and a potential adjunctive therapeutic approach [10]

Oh, I didn't notice that part because they don't see themselves in the mirror