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In some people this manifests as diarrhea, in others constipation

While there are many reasons why someone could feel fatigued, B12 is a part of the picture and correcting the deficiency can greatly improve energy levels

10.1038/nrn2515 132 KarkhanisA

10 Finally, the effect of GLP-1RAs on weight may contribute to an increase in insulin sensitivity and better control of blood glucose
