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Hormonal changes, certain medications (including hormonal birth control), stress, or certain health conditions can sometimes result in lighter or infrequent bleeding (6,16-19)

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Emergency steps include: Quickly checking the patients condition Right away, giving 1 mg of Vitamin B12 IV Keeping a close eye on vital signs and neurological status By sticking to these guidelines and protocols, healthcare workers can manage Vitamin B12 deficiency well