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But as we understand in functional medicine, theres always a cause beneath the cause

How to Choose Between Shots and Supplements Deciding whether to opt for B12 shots or oral supplements ultimately depends on your unique situation

Mahoney FI, Barthel DW

Extensive pelvic adhesions can result in cul-de-sac obliteration, defined by Sampson (1922) as extensive adhesions in the cul-de-sac, obliterating its lower portion and uniting the cervix or the lower portion of the uterus to the rectum, with adenoma of the endometrial type invading the cervical and the uterine tissue, which compromises sperm passage and tubal function

You don't need to choose, used together they cover both the immediate and the long term