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People who receive hemodialysis frequently struggle to fall asleep, sometimes as a result of breathing pauses while they sleep (sleep apnea), or as a result of achy, unpleasant, or restless legs

Pain medications mask symptoms without addressing the underlying cause, and steroid injections provide only temporary relief

Sublingual B12 can be effective for mild deficiency and maintenance

These issues result in weakness, fatigue, and pale skin, among other concerns