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If your not producing hormones through your thyroid it would explain the complete lack of energy and tiredness

OGDH catalyzes the conversion of 2-oxoglutarate (-ketoglutarate) to succinyl-CoA in the TCA cycle

Cardiovascular (Heart and Blood Vessel) Complications In rare but serious cases, B12 replacement can lead to heart and blood vessel problems: Shortness of breath Peripheral edema (swelling in legs and arms) Rapid weight gain Pulmonary edema (fluid in lungs) Congestive heart failure (heart cannot pump effectively) Blood clots in vessels These complications arise from increased blood volume, thicker blood, and sudden changes in how hard the heart needs to work

Upon initiating the reaction with alkaline phosphatase, we observed a decrease in the TS/mC ratio, first for NAPstar3, followed by NAPstar2, and finally NAPstar1

These hormones help regulate blood sugar and appetite