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Yes, reduced food intake from appetite suppression can lead to deficiencies in protein, iron, vitamin D, and B vitamins, all of which are essential for energy production and can contribute to persistent tiredness if not addressed through nutrient-dense eating

Vitamin B12 shots may not be suitable for people with a history of: sensitivity to vitamin B12 Lebers disease, which affects the optic nerve kidney problems hypokalemia, or low potassium levels deficiencies in other nutrients, particularly folic acid and iron Vitamin B12 injections provide the individual with a synthetic version of vitamin B12

Cancers (Basel) 15

These may require immediate endocrine responses

J Neurosci Res 76:551562 Sekhon B, Sekhon C, Khan M, Patel SJ, Singh I, Singh AK (2003) N-Acetyl cysteine protects against injury in a rat model of focal cerebral ischemia

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