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Fatigue can have many causes, including stress, poor sleep, hormone issues, nutritional deficiencies, or other medical concerns

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Also when you take B12 as a sublingual tablet or chewable form, it will usually contain sugar alcohols like xylitol etc

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[DOI] [PubMed] [Google Scholar] 35.Sasamoto A, Nagino M, Kobayashi S, Naruse K, Nimura Y, Sokabe M
