Type 2 pernicious anemia, which is less frequent than Type 1, can result from mutations in genes related to the transport of vitamin B12
National Institutes of Health lists the characteristics of B12 deficiency as: megaloblastic anemia (abnormally large and immature red blood cells) fatigue constipation loss of appetite neurological issues, such as difficulty with balance, depression, and confusion Certain people might also be more likely to need a vitamin B12 supplement: If youre vegan or vegetarian If you follow a vegetarian or vegan diet, youre at a higher risk of a vitamin B12 deficiency since meat, eggs, poultry, and other dairy animal products are the main sources of B12
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