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There are two reasons people become deficient in vitamin B12: They dont eat the proper foods or take supplements Their bodies cant absorb enough B12, no matter how many good foods or supplements they consume When someone lacks the right amount of vitamin B12, they usually start to develop the following symptoms: Anaemia Difficulty walking properly Cognitive issues (struggling to think clearly, for example) Fatigue Constipation Irritability Changes in vision Numbness and/or tingling in the feet, legs, and hands An inflamed tongue Any of these can interfere with your quality of life and impair your most basic functions