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Tiredness may result from multiple factors including direct medication effects, inadequate caloric or nutritional intake due to reduced appetite, dehydration from gastrointestinal side effects, metabolic adaptation to weight loss, and blood sugar fluctuations in patients taking diabetes medications

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The current treatment in the UK of an injection every three months causes enormous problems for members

While B12 tablets and dietary adjustments can help in mild cases, injections are often the gold standard treatment for moderate to severe deficiencies, or when absorption issues are present