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The absorption of this vitamin is a complex process that involves the stomach, pancreas, small intestine, and liver, so if any one of those organs isnt functioning well, less B12 gets absorbed

Doets EL, Int Veld PH, Szczecinska A, et al

Keep in mind that the clinical manifestations of vitamin B12 deficiency differ depending on the degree and duration of deficiency, but some of the most common symptoms of a B12 deficiency include 4 : Anemia Chronic fatigue Shortness of breath Heart palpitations Pallor Skin hyperpigmentation Glossitis Infertility Osteoporosis Sensory loss Abnormal balance or reflexes Cognitive impairment Memory loss Older adults are at a higher risk for vitamin B12 deficiency, as are those on a vegetarian or vegan diet, as dietary B12 is found in animal products

Safety and Efficacy of Approved and Unapproved Peptide Therapies