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Advertisement The symptoms of vitamin B12 deficiency can develop slowly and can get worse over time

The effect is particularly noticeable in poorly vascularized tissues like tendons, which normally heal slowly due to limited blood flow

Whats more, a vitamin B12 supplement alone, or part as part of a vegan multivitamin both seem equally effective at maintaining proper vitamin B12 levels, as long as the dosage is adequate

Symptoms of vitamin B12 deficiency include (1): chronic fatigue shortness of breath heart palpitations tingling or numbness in the extremities poor balance loss of concentration poor memory disorientation mood changes incontinence insomnia People most at risk of developing a deficiency include older adults, as well as those who smoke, abuse alcohol, or follow a vegetarian or vegan diet