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Several mechanisms may contribute to feelings of fatigue , including: Reduced caloric intake due to appetite suppression Gastrointestinal side effects affecting food and fluid intake Changes in blood glucose regulation Adjustment period as the body adapts to metabolic changes Dehydration from nausea or reduced fluid intake It is important to distinguish between normal tiredness during weight loss and fatigue that may indicate an underlying medical concern

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For a 12-week maintenance phase, budget 7-8 vials of 20mg

Those who underwent a gastric bypass may have compromised their stomachs ability to release B12 from food