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The inclusion of B vitamins supports energy production and nerve function, which are crucial for reducing muscle fatigue and stress

This involves consulting a clinician and getting relevant labs, typically a serum B12 test

Gut treatments have also been shown to improve thyroid-like symptoms , including fatigue [28, 29, 30], mild to moderate depression [31], and anxiety [32]

Hyperhomocysteinemia and elevated MMA can also arise from Imerslund-Grsbeck syndromea rare autosomal recessive disorder caused by mutations in either the CUBN or AMN gene responsible for the synthesis of IF receptors (cubam) in the ileum (distal region of the small intestine) (35)