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However, research supporting their efficacy is limited, and they are generally not recommended for those with severe deficiencies

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Fatigue is common and can be caused by many things, including: Iron deficiency Low vitamin D Thyroid issues Poor sleep quality or sleep apnoea Stress and burnout Low mood/anxiety Dietary patterns and hydration Long-term conditions Thats why we always recommend basing B12 treatment on clinical context, and ideally blood test results, rather than guessing

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Usually, kidney disease doesnt cause symptoms until its in the late stages