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If you are vegan, don't eat enough B12-rich foods, or have other health issues that prevent you from absorbing it effectively, such as pernicious anaemia, you may have a deficiency

Secondary outcomes Five included studies comprising 3605 patients reported change in MCV, four studies comprising 140 patients reported change in homocysteine levels, four studies comprising 3588 patients reported change in platelets count, and only three studies with 3430 patients reported change in WBC count

To better know how to address fatigue, you need to understand why it happens and how increasing vitamin B12 levels can help

Look elsewhere for causes