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doi: 10.1002/path.1693

113 A controlled trial that included 38 women with menopausal symptoms given 100 mg Pycnogenol daily and 33 similar women given no treatment for eight weeks found those given Pycnogenol had reduced symptom scores for a subset of six common symptoms: hot flashes, night sweats, mood swings, sleep difficulty, low libido, vaginal dryness, and irregular menstrual periods

Summary: There is no established scientific evidence that vitamin B12 supplementation or elevated B12 levels directly cause anxiety in most individuals

If that doesnt work, then theyll reassess whether to cover Mounjaro