B12 can also lead to improved mental functions like memory and concentration, better sleep, less stress, and even healthy skin, hair, and nails
Those changes require nutrient and medical management
Vegetarian alternative: Replace the beef with tofu cubes
Despite the above claims, there are no clinical trials showing that coffee enemas can improve health
Additionally, the appetite suppression often experienced with GLP-1 medications might lead to lower calorie intake, further contributing to fatigue
This typically includes measurement of IGF-1 and, where indicated, dynamic GH stimulation testing (such as an insulin tolerance test or glucagon stimulation test) and pituitary imaging