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262 Infertility is a serious cause of psychological and emotional distress, often prompting reactions such as shock, a sense of losing control, low self-esteem, anger, frustration, sadness, and grief, and the emotional toll increases the longer infertility persists

It qualifies this by saying the area immediately around the navel should be left out

10.1016/j.berh.2011.01.012 68 GambariL.CellamareA.D'AlessandroM.GrigoloB.GualandiC.VelinoC.et al (2025)

Women are affected far more often than men (4% vs 0.9%)

Its not just about preference its all about something called intrinsic factor If your body doesnt produce enough intrinsic factor, you wont absorb B12 properly from food or tablets no matter how many you take

Humana administers commercial employer plans through fully-insured and self-funded arrangements