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To better know how to address fatigue, you need to understand why it happens and how increasing vitamin B12 levels can help

These include: Lifestyle interventions (dietary advice, physical activity programmes) Licensed pharmacotherapy such as orlistat, or GLP-1 receptor agonists including semaglutide 2.4 mg (Wegovy, NICE TA875) or tirzepatide (Zepbound) where clinically indicated and available Referral to tier 3 or tier 4 weight management services , including bariatric surgery assessment where appropriate Information on NHS weight management services and eligibility for licensed treatments is available via the NHS website and NICE guidance

In addition, we observed that BMI was successively higher in the Low B12 group compared to the Average and High groups

(1990) Effects of human growth hormone in men over 60 years old