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They do say try hard to relax your arm as that can make a difference

Most of us can get a sufficient amount of vitamin B12 purely through diet, but there are some cases where dietary restrictions make consuming the vitamin through food incredibly difficult, or where the body is not able to absorb the amount of vitamin B12 that it requires

UK guidance (MHRA and NICE) advises checking B12 levels in patients on metformin who develop symptoms of deficiency (anaemia, neuropathy) and considering periodic monitoring in those on long-term therapy

B12 is one important piece, but persistent exhaustion usually has more than one contributing factor