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These can include taking oral dietary supplements and now even a new form of prescription vitamin B12 medication available in gel form

These cognitive symptoms often worsen throughout the day and improve slightly after rest

Vegetarians and Vegans : Since vitamin B12 is primarily found in animal products, those following plant-based diets are at increased risk of deficiency

This might include people with a history of low B12 levels on blood work, those taking metformin or proton pump inhibitors that deplete B12, vegetarians or vegans with limited dietary B12 intake, individuals with absorption issues from gastric conditions, or anyone experiencing the pronounced fatigue that often accompanies early tirzepatide therapy

It is especially useful where oral intake is insufficient or absorption is compromised, as noted in the product literature