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LEAD-2 Nauck et al

It does not appear to substantially improve liver injury markers, though it may have favorable effects on adiponectin and insulin levels

Underlying health conditions : People with pre-existing health conditions like diabetes, thyroid conditions or gastrointestinal issues may have longer-lasting fatigue

Many adults dont get enough B12 through diet alone, especially if they follow a vegetarian or vegan lifestyle, have certain digestive conditions, or simply dont absorb nutrients as efficiently with age

Aim for 20-35g of protein per meal, spread across 3-4 eating occasions