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Fatigue from low B12 can make it genuinely hard to stay active or motivated

So, you risk an all is fine, you do not have B12 deficiency judgment, and the proper treatment being withheld

It's not clear how you get PA, though genetic and environmental factors may play a role

Tolerability and Safety Questions Both candidates are likely to be judged partly on gastrointestinal tolerability: nausea, vomiting, diarrhea, constipation, dose escalation, and discontinuation due to adverse events

Summary: Vitamin B12 shots with lipotropics are unlicensed injectable combinations that lack robust clinical evidence for weight management and are not routinely prescribed within the NHS