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Vitamin B12 is not typically found in plants, so vegans and vegetarians may need to look for fortified breakfast cereals that include B12 or opt for a regular supplement (NIH, 2020)

Signs and symptoms include: difficulty thinking and remembering fatigue heart palpitations pale skin weight loss infertility numbness and tingling in the hands and feet dementia mood changes a sore tongue low appetite constipation Why consider Vitamin B12 shots Vitamin B12 Injections are the best way of rapidly boosting your levels, we can often have trouble absorbing B12 in our gut so using intramuscular injections can a greater absorption in the body

Serum malondialdehyde is associated with non-alcoholic fatty liver and related liver damage differentially in men and women

While these symptoms can have many causes, one possibility worth considering is a deficiency in vitamin B12