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Additionally, it affects the development of strong nails and shinier hair

Regular reassessment with healthcare providers helps determine the ongoing need for treatment, with consideration of factors such as treatment response, side effects, and changes in health status or treatment goals

Clinical indications commonly include bothersome vasomotor symptoms, genitourinary syndrome of menopause, primary ovarian insufficiency, or hypoestrogenism secondary to surgical menopause in appropriately screened patients

PMC 11642503

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