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Common examples include fatigue or low energy with normal blood results, brain fog or reduced concentration without confirmed vitamin B12 deficiency, stress-related exhaustion or burnout, increased metabolic demand such as during illness recovery, high workload, or intense training, restrictive or inconsistent dietary intake, or suspected poor oral absorption despite normal serum levels

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Semaglutide interacts with the body in a way that reduces appetite

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2 Metformin (an antidiabetic drug) and nitric oxide have also been shown to decrease B12

Xiong, A