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Use a fresh sterile needle and syringe for each withdrawal, draw only the volume required, and never return withdrawn solution to the vial

This lowers spontaneous calorie intake without requiring constant dietary restriction

The body absorbs vitamin B12 with the help of intrinsic factor, made in the stomach

Kruse Klausen M, Thomsen M, Wortwein G, Fink-Jensen A

What to ask your GP about If fatigue persists despite hydration + intake guardrails, its reasonable to discuss basic checks that often explain tiredness in real life: iron studies , B12 , vitamin D , and thyroid function , plus a review of your current dose, side effects, and any other medicines