Stability is not the same as bioavailability
B12 is one important piece, but persistent exhaustion usually has more than one contributing factor
They can evaluate individual health status, possible drug interactions, and suitability for therapy
The Surviving Sepsis Campaign 2021 guidelines suggest starting AVP at a fixed infusion rate independent of weight (up to 0.03 IU/min) as an early adjunct when NE infusion rates reach 0.250.50 g/kg/min [10, 11], a threshold for AVP initiation that still needs to be validated [12, 13]
Any days I forget to take it- I am hungry and my energy level drops a little
Vitamin B12 is generally well-absorbed through diet, so if you dont have a deficiency, eating B12-rich foods is your best option