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But with todays hygiene standards of food products, most people arent able to ingest trace amounts of soil with their fruits and vegetables, so they dont get B12

Mild vitamin B12 deficiency can be treated with dietary changes or by taking vitamin B12 supplements

Inactive form

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A deficiency can also cause issues such as diarrhea, nausea, vomiting, lack of appetite, weight loss, pale skin, numbness and tingling in your hands and feet, confusion, irritability, depression, and behavior changes