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For those with a genuine, diagnosed B12 deficiency causing their fatigue, improvements can sometimes be noticed within a few days to a week

Common symptoms include pelvic pain, heavy and painful periods, pain with bowel movements, painful urination, painful sex, fatigue, and infertility

While its possible to get all the vitamin B12 you need from the foods you eat, in certain cases, a B12 supplement might be useful particularly if youre at greater risk of becoming deficient in B12

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b) the widespread use of antibiotics in animal farming, which impairs B12 production by the animal gut microbiota

The flowchart below shows why these structured B12 therapies are often necessary in the first place