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Clinicians should also consider alternative medical explanations for new-onset fatigue, including thyroid dysfunction, anemia, sleep apnea (which may improve or persist despite weight loss), chronic kidney disease, or cardiovascular conditions

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Hydroxocobalamin Compared to cyanocobalamin, hydroxocobalamin has a higher affinity to plasma protein and has a longer half life

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Review Natural Deficiencies: Add Whole Foods: Emphasize an diet rich in foods in the following groups that are high in B vitamins: lean meats, poultry, fish, whole grains, legumes, and leafy green vegetables