It could point to several things: A different cause: your fatigue might stem from thyroid problems, iron deficiency, or sleep apnea rather than B12
These are different procedures with different anatomical targets: facet joints are posterior structures distinct from the epidural space
It was originally developed in Australia by Metabolic Pharmaceuticals as an investigational obesity drug and is also called HGH Fragment 176-191
The 50 mg vial is reconstituted with 2 mL of bacteriostatic water, which yields a concentration of 25 mg per mL (0.25 mg per unit)
But these effects should go away pretty quickly
In white adipose tissue, blocking NNMT elevated resting calorie burn, decreased adiposity, and improved insulin sensitivity in rodent models, independent of diet or activity changes (Kraus et al., Nature Medicine )