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If your body lacks sufficient B12 due to dietary reasons (e.g., youre vegan and not supplementing) or, more commonly, due to an inability to absorb B12 from your gut (e.g., pernicious anaemia, certain stomach conditions, or medications), then replenishing those levels with an injection will directly address the cause of your fatigue

Reduce portion sizes semaglutide slows gastric emptying, so large meals will sit heavily and increase nausea risk

In addition it can happen that we produce "Parietal cell Antibodies" and "Intrinsic Factor Antibodies" which totally wipes out any chance of absorbing the B12