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At Royal Palm Beach Medical Group, your health and safety are our top priorities

PRISMA checklist is provided in Supplementary Table S1

Vegetarians and vegans often face challenges in obtaining sufficient B12 from their diet, so supplementation becomes necessary

Some of the characteristic symptoms of this deficiency include: extreme tiredness lack of energy breathlessness feeling faint headaches pale skin noticeable heartbeats (palpitations) loss of appetite and weight loss a decline in your mental abilities (brain fog) irritability depression If youre following a vegan diet and recognise any of the symptoms outlined above (or just wish to prevent them!), a vegan B12 supplement may be required and you have two options available

Additional Tests: Depending on the suspected cause, additional tests may be conducted, including iron studies, vitamin B12, folate levels, bone marrow examination, or genetic testing