b12 5000 mcg injectable CYANOCOBALAMIN Vitamin Solution for Horses, 5000-mcg, 100-mL - Easy Refills Vitamin B12 Injection at a

This immediately flags a common cause: Dietary Factors: Vegans and strict vegetarians are at a higher risk of deficiency if they dont consume fortified foods or supplements

Studies such as this one published in PMC highlight the role of malabsorption from mucocutaneous disorders like epidermolysis bullosa can lead to deficiencies that cannot be addressed adequately with oral supplements

They can also offer guidance on maintaining optimal B12 levels through diet and lifestyle modifications

I am a dialysis caregiver for more than 10 years already

Maybe you're a few months into a GLP-1 protocol and your energy doesn't match your progress on the scale