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Having a condition that impacts nutrient absorption like celiac disease or Crohns disease
One of the more common symptoms of B12 deficiency is fatigue, which can significantly reduce energy levels
Continuous use without breaks may reduce its long-term effectiveness and increase adaptation
Key evidence-based strategies include: Calorie-controlled diets tailored to individual needs, with a focus on whole foods, vegetables, lean proteins, and reduced ultra-processed food intake Regular physical activity the NHS recommends at least 150 minutes of moderate-intensity exercise per week for adults, alongside strength training on two or more days [15] Behavioural interventions , including cognitive behavioural therapy (CBT) approaches, which address eating habits and psychological relationships with food NHS weight management programmes , such as referral to Tier 2 or Tier 3 services depending on BMI and comorbidities
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