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You are a Vegetarian or Vegan Since the primary dietary sources of B12 come from animal products, strict vegetarians and vegans are at very high risk of developing a B12 deficiency

This is especially important when using GLP-1 agonists, which can cause lean mass loss alongside fat loss if exercise is not incorporated

This not only drastically reduces the amount of ATP available for physical and cognitive tasks but also physically destabilizes the nervous system, leading to profound fatigue and neurological impairment

However, individuals who avoid a variety of foods or have digestive absorption issues may need Vitamin B12 injections to maintain optimal health