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Nausea can shorten meals or push someone away from protein-rich foods, which affects blood sugar stability across the day

Chronically elevated cortisol: Promotes visceral fat accumulation specifically, the metabolically dangerous intra-abdominal fat Drives hepatic glucose output, raising fasting blood sugar Suppresses adiponectin, a hormone that improves insulin sensitivity Increases appetite for calorie-dense foods by elevating ghrelin relative to leptin Impairs thyroid hormone conversion from T4 to active T3 This is why metabolic syndrome so frequently co-presents with sleep disorders

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For those with a mild deficiency or who can absorb B12 from food, oral Supplements or diet adjustments may be sufficient

Even with proper rest, low vitamin B12 levels can leave you feeling sluggish, unmotivated, and out of balance