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Fermented foods (such as tempeh), nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B-12.39,40 Vegans must regularly consume reliable sourcesmeaning B-12 fortified foods or B-12 containing supplementsor they could become deficient, as shown in case studies of vegan infants, children, and adults

You've tried the typical remedies like drinking more coffee or getting extra rest, but nothing seems to shake off this persistent fatigue

This injection is already providing a high dose of several B vitamins, far above typical multivitamin doses

The copper peptides for hair growth page discusses how different variants compare for this application