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In practical terms, that shows up as fatigue that seems disproportionate to your effort, shortness of breath during workouts that used to feel manageable, and a general sense that your body isn't performing the way it should

But she felt like the wool had been pulled over her eyes. Most older adults get enough vitamin B12 from their diet, as long as it includes a reasonable amount of lean meat, Zimmerman says

The HOMA-IR was calculated using the formula HOMA-IR = fasting glucose (mg/dl) fasting insulin (U/ml)/405