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For example, people who follow vegetarian or vegan diets may have a higher risk of B12 deficiency because the vitamin is not naturally present in plant-based foods

Vitamin B12 deficiency symptoms The most common vitamin B12 deficiency symptoms include (2, 11): Pale skin Low energy Shortness of breath Palpitations Tingling or numbness in hands and/or feet Lower sense of position of body parts Lower ability to feel vibrations Abnormal walking pattern Muscle weakness Loss of concentration Poor memory Confusion Depression Vision problems Insomnia Impotency Poor bowel or bladder control Constipation Flatulence Sore tongue Appetite loss Loss of mental or physical drive Can I have a vitamin B12 deficiency without any symptoms

Protein aggregates can trigger immune reactions at the injection site or systemically

Levels naturally decline with age, chronic illness, and prolonged oxidative stress