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Vegans or vegetarians sometimes have lower B12 levels because plant based foods lack substantial amounts of this nutrient
The mechanisms do not overlap or interfere with each other
Undetected vitamin B12 deficiency due to false normal assay ...ncbi.nlm.nih.gov articles PMC3827408 by E Scarpa 2013 Cited by 25 Although measurement of vitamin B12 levels is the gold standard for the diagnosis of B12 deficiency some reports do exist concerning difficulties in its assay
Smoking and alcohol: Both degrade collagen and impair healing
Lethargy Muscle weakness Mood swings Memory loss Tingling in the fingers and toes Weight gain Though B12 is found in many different foods, including meat, eggs, and fortified grains, it may be difficult to get enough of this nutrient from your diet, especially if you are following a specific diet for weight loss