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Some medical conditions, including autoimmune disease like shingles (herpes zoster), rheumatoid arthritis or celiac disease, as well as Lyme disease, some cancers, and several other diseases can also cause or increase the risk of nerve damage, also sometimes referred to as peripheral neuropathy
Physical activity boosts calorie burn and supports muscle health during weight loss
A clinician also keeps a simple record of the date, dose and site so the rotation stays on track and the schedule matches your blood results
If B12 levels are already normal, additional B12 is unlikely to improve fatigue
This allows for precise, data-driven care rather than a one-size-fits-all approach
