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Introduction Feeling fatigued and struggling to maintain steady energy levels throughout the day

After performing a brief history and exam, the provider administers an injection of 90 mg phytonadione to immediately increase the patients vitamin K levels and help decrease bruising and improve blood clotting

Symptoms of Vitamin B12 Deficiency Deficiency symptoms can mimic other disorders, so diagnostic testing is essential

Medical Conditions: Underlying health issues like an underactive thyroid, diabetes, heart disease, kidney disease, or even certain infections can manifest as profound fatigue

Combined Approaches (Neelakantan et al., 2022): NNMT inhibition with reduced-calorie diet produced dramatic adiposity reduction in DIO mice, normalizing metabolic parameters and establishing a distinct gut microbiome