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If you want to get your B12 from fortified foods rather than take supplements, youd have to eat three separate servings of B12-fortified foods, ideally with each serving containing at least 190 percent of the Daily Value on the products nutrition facts label

IGF-1 LR3 (Insulin-like Growth Factor-1 Long R3) is a synthetic analog of IGF-1 , a hormone that plays a key role in muscle growth, tissue repair, and cellular regeneration

Taking cyanocobalamin if you have a methylation issue or MTHFR defect (3) in your genes can also cause issues as your body attempts to methylate the B12 before it can utilize it completely

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Another reason for getting tired and staying that way is a lack of specific nutrients like vitamin B12