I was just reading a thread regarding women who had B-12 injections and are suffering from fatigue and exhaustion. That's me too. I have everything to do and absolutely no energy to do a thing. So the doctor checks the usual stuff: anemic (no), blood sugar low (no), thyroid (nope). Well .... I just want to say that I am a 59 yo menopausal woman and as an a "older" woman, it seems, doctors just tend to leave my tiredness at that-age. I finally have a great doctor, who took me serious and he kept thinking about my issue...and he checked my testosterone level. Yes, women have little traces of testosterone in their systems and it is important to a woman's physical and mental well being and her QUALITY OF LIFE! Tired, drained, no sex drive, sex less satisfying, orgasms (yes, I said it, and if I'm lucky anymore, they are ... ok), there's brain fog, bone loss, poor sleep and no doubt others I can't remember.
My point, ladies, this is an issue that has been known for decades but, none-the-less, largely ignored by physicians. Well maybe it is B-12 and a combination of other stuff that causes these symptoms but why not check testosterone levels. Mine is "normal" for my age, HOWEVER, it is low compared to younger women because as estrogen decreases with age so does testosterone and we are going to try "pellets" under the skin to bring it into therapeutic range IF the insurance company deems this replacement therapy NECESSARY for a woman (old or otherwise).