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The proposed approach outperforms several existing methods that either yield inferior results or provide incomplete analyses

10.1016/j.amsu.2020.11.010 Fogagnolo P, Melardi E, Tranchina L, Rossetti L: Topical citicoline and vitamin B12 versus placebo in the treatment of diabetes-related corneal nerve damage: a randomized double-blind controlled trial

115,116 In a study of 50 women receiving TSH-suppressive L-T4 therapy, treatment with 2 or 4 g/day L-carnitine was shown to improve clinical and biochemical markers of hyperthyroidism relative to placebo

Shortness of Breath: Often triggered by minimal exertion

This might involve looking into: Thyroid function Iron levels Sleep patterns (sleep apnoea, insomnia) Mental health assessments Chronic health conditions Dietary habits Stress management The B12 shot did its job by correcting that specific deficiency, but the journey to resolving your fatigue may require a broader look at your health