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It creeps up, and people often blame stress, lack of sleep, or just getting older. Some of the warning signs include: Feeling wiped out for no reason Numbness or tingling in your hands and feet Pale or washed-out skin Forgetfulness or brain fog Feeling down, irritable, or low in mood Getting dizzy or breathless while doing simple things If these sound familiar, its worth checking your levels before just pushing through

However, once diagnosed it presents a difficult management problem in patients suffering from pernicious anemia, as there is no substitute

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Vegetarians and vegans Vitamin B12 recommendations do not differ for people following a plant-based diet