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As Harvard Health points out, symptoms often develop so gradually that you might not notice them, or you might attribute them to aging, stress, or other conditions

Those most at risk include vegans and vegetarians, people with digestive conditions such as Crohn's disease, coeliac disease or IBS, those taking long-term metformin or proton pump inhibitors, older adults whose ability to absorb B12 through the gut declines naturally with age, those with pernicious anaemia, and anyone with a history of chronic alcohol use

However, if youre highly deficient, you may feel tired for a short period as your body adjusts