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If supplements are the cause, your clinician may suggest reducing the dose or switching to a standard multivitamin, then rechecking later

Why the FDA Position Is What It Is The regulatory reasoning behind peptide category adjustments is typically a combination of: Absence of sufficient human clinical trial data to support inclusion Manufacturing and quality control standardization questions The availability of alternative therapies Pharmacovigilance considerations arising from compounding pharmacy use patterns A physician hearing not approved about a compound that has been clinically useful may understandably feel that the regulatory posture is out of step with clinical experience

Additional References Understanding Endometriosis: From Symptoms to Treatment - FDA About Endometriosis - US Department of Health and Human Services National Institutes of Health

In these circumstances, a doctor may recommend vitamin B12 injections