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Vegetarian sources of B12 include chlorella, nori, nutritional yeast and certain mushrooms, but many vegans and vegetarians have insufficient levels of B12 because its not widely found in plants. According to Mullane, not getting enough B12 can result in issues like anaemia, fatigue and more intense symptoms including shortness of breath, palpitations, pale skin, muscle weakness, numbness and tingling in hands or feet, blurred vision and memory loss

its a nutritional add-on that pairs naturally with the rest of the menu

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These effects tend to peak during the first few days after dose increases, then diminish as your body adapts

How to maintain weight loss after tirzepatide is a question you should start considering well before you decide to discontinue