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Many people experience persistent tiredness due to nutritional deficiencies, stress, or lifestyle factors
A 2025 meta-analysis of 16 studies involving 6,098 participants found no statistically significant difference between intramuscular, oral, and sublingual B12 supplementation routes
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For instance, patients with liver disease may experience fatigue, jaundice, or abdominal swellingsymptoms related to hepatic dysfunction rather than the elevated B12 itself
Vitamin B12 injections also come into the picture
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