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One possible explanation is that low serum vitamin B12 levels would trap folate as 5-methyltetrahydrofolate, prevent the generation of methionine from homocysteine, and therefore reduce protein synthesis and lean tissue deposition
**Back of upper arm** -- may need assistance Rotate sites systematically to prevent lipodystrophy (tissue changes from repeated injection at the same spot)
Speak to a pharmacist or GP if you are unsure what you are taking or why
That is exactly why muscle-preservation belongs in the stack
Other Nutritional Deficiencies: Iron deficiency (anaemia) is a very common cause of fatigue, as are deficiencies in Vitamin D or folate
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