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Avoid herbal supplements with hypoglycemic effects (bitter melon, fenugreek, berberine) that may increase low blood sugar risk, and stimulant-containing weight loss products that may worsen cardiovascular risks

These personalized B12 shots may help support overall wellness by addressing low vitamin levels that can contribute to fatigue and reduced energy

Resources We Trust Cleveland Clinic: A Nutritional Plan for Anyone Living With Crohns Disease or Ulcerative Colitis Mayo Clinic: Anemia American Society of Hematology: Patient Groups Crohns & Colitis Foundation: Join the Community Crohns Colitis Canada: Fatigue Anemia Fact Sheet

Potential interventions include pharmacological agents ( e.g ., aminoguanidine, metformin, phenylthiazolidine, and pyridoxamine), dietary modifications ( e.g ., low-AGE diets), and regular physical exercise (81, 82)

doi: 10.1016/j.jpba.2014.06.012