8,9 Manifestations Vitamin B 12 deficiency affects multiple systems, and sequelae vary in severity from mild fatigue to severe neurologic impairment 1,2,6,10 (Table 2 4,10 )
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The main complaint is mild to moderate pain, particularly in thin people (6)
If your diet consists primarily of plant-based foods like fruits, veggies, beans, and meat substitutes- as many vegetarian or vegan diets do, then you will be at risk for B12 deficiency