A rare cause is transcobalamin II deficiency, a genetic condition where your body can't transport B12 (also known as cobalamin) in your body
Common Causes of B12 Deficiency Not getting enough B12 can happen for several reasons
It participates in the metabolism and conversion of homocysteine into methionine which is an amino acid that is essential to liver, kidney, and bladder health
Early, small, short-term studies on premenopausal women diagnosed with HSDD have shown some evidence of increased libido, but theres no evidence yet that it has this effect on menopausal women
However, it never received FDA approval because the results, while positive, weren't dramatic enough to meet regulatory thresholds for an obesity drug
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