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Signs and symptoms of vitamin B12 deficiency can include fatigue, pale skin, headaches, shortness of breath, fast heartbeat, gastrointestinal issues, mouth inflammation, paresthesias (abnormal sensations), decreased cognitive ability, depression, muscle weakness, imbalance and incoordination, vision problems, and erectile dysfunction

During the initial treatment phase, your body begins the process of rebuilding B12 stores in the liver, which can take several weeks to months depending on the degree of depletion

Older adults A 2015 review suggests that adults over the age of 60 may be more likely to have a vitamin B12 deficiency

Try to eat balanced meals with a mix of proteins, healthy fats, and whole grains