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B12 deficiency can cause fatigue and poor metabolism, which can be the cause of your sudden weight gain

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Rotating injection sites helps minimize cumulative irritation

While no research yet shows a connection to Hashimotos, I wanted to make note that in some cases, individuals may have normal blood levels of folate, but the folate may not be getting to the brain due to autoimmune folate receptor antibodies (FRAs), which block the transport of folate into the cerebral spinal fluid (CSF)

waist-circumference-to-weight-loss ratios at week 4 used as quasi-DEXA proxy for fat-vs-lean distribution