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While theres not much research about ashwagandha and birth control specifically, a 2015 study found that ashwagandha doesnt seem to affect the enzymes that break down hormonal birth control [11], meaning that they can probably be used together

Temporary urine discoloration (bright yellow), which is harmless

An imbalance between the two can create oxidative stress that opens the gateway for aging as well as diseases such as high blood pressure, various cancers, and Alzheimers disease, and alcoholic liver disease

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Since your body cannot make it on its own, getting enough from foods high in vitamin B12 (or supplements) is essential