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If your B12 is low without any explanationyou eat foods with vitamin B12 or you havent been diagnosed with a condition that causes low B12then it would be worth investigating further with your healthcare provider. Can high B12 levels be a warning sign

Updated on April 30th, 2026 Fatigue affects 15-30% of patients starting tirzepatide, typically emerging within the first 4-8 weeks as the body adjusts to slowed gastric emptying and GLP-1 receptor activation

10.1016/j.jhep.2004.09.006 J

I had by covid booster in that arm about a week before so maybe that is why it's hurting so much thanks that's made me feel a bit better Its quite possible the nurse injected too high on the shoulder