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Calorie restriction, increased activity, and emotional adjustment to body changes all cause tiredness

I recommend removing all inflammatory foods, including refined sugar, refined oil, gluten, conventional dairy, processed and canned meat, additives, artificial ingredients, non-organic produce with pesticides or hormones, junk food, and highly processed foods

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Diagnosing and Testing for Vitamin B12 Deficiency in the UK In the UK, diagnosis of vitamin B12 deficiency follows guidance from the British Society for Haematology (BSH) and NICE , emphasising a combination of clinical assessment and laboratory investigation