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In mild cases, low levels of vitamin B12 can cause fatigue and anemia, while more serious deficiencies can lead to serious neurological and heart impairments

The typical form of B12 used in doctors offices is cyanocobalamin, a cheaper and subpar form of B12

Although, some vegan products do contain vitamin B12 as it is added to them to help their intake

Like any surgery it does have inherent risks but for cases that don't respond to conservative management or injection therapy then this is an option that can be considered in the nasty recalcitrant cases

Lack of Vitamin B-12 Leads to Weight Loss Also Additionally, vitamin B-12 deficiency tends to affect the appetite of some people

Genetic variants can increase your need for riboflavin