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A serum B12 level below 200 pg/mL indicates deficiency, whereas values between 200-300 pg/mL suggest borderline status

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Some symptoms of a vitamin B12 deficiency include: difficulty thinking brain fog fatigue pale skin weight loss dementia numbness and tingling in hands and feet mood changes decreased appetite constipation A lack of animal protein and following a plant-based diet sans appropriate supplementation can lead to a vitamin B12 deficiency