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Peter : I still haven't answered your question which is, "How do you do this with diet?" But

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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

Disease-Modifying Therapies C-peptide C-peptide is a biomarker of the bodys insulin production, which can be measured easily by a blood test

The following groups are the most common candidates