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Fatigue is common and can be caused by many things, including: Iron deficiency Low vitamin D Thyroid issues Poor sleep quality or sleep apnoea Stress and burnout Low mood/anxiety Dietary patterns and hydration Long-term conditions Thats why we always recommend basing B12 treatment on clinical context, and ideally blood test results, rather than guessing

Secondary hyperhidrosis is usually treatable and is not often a chronic condition

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This cream is a lovely moisturizer

The result is a pattern we see repeatedly in our practice: patients whove spent years cycling through specialists, receiving diagnoses that treat individual symptoms in isolation, and being told that stress or aging is the likely explanation