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Sometimes symptoms can take years to show up as a deficiency, these symptoms include *Lack of energy *Muscle weakness *Extreme fatigue or tiredness *Yellow eyes *Pale or slightly yellow tinge to skin tone *Pin and needles (paraesthesia) *Shortness of breath and dizziness *Disturbed vision *Sore and or red tongue *Depression *Mouth ulcers *Psychological problems *Changes in mobility *Memory loss and understanding problems Vitamin B12 deficiency can be easily avoided, many people are becoming new to a vegan or vegetarian diet and are unaware of the need to combine sources of plant proteins

Published 2017 May 25

Fast titration added little weight loss and much more gastrointestinal burden

Biochemistry 35, 1370913715