vegetarians should get b12 injections Benefits Of B-12 For Vegans & Vegetarians Be Aware – Vitamin

Signs of the disease often include: Constitutional symptoms: fatigue, lethargy, loss of appetite, and weight loss Neurological changes: headaches, confusion, difficulty focusing, memory loss, cognitive decline, numbness, and balance issues Psychiatric effects: emotional instability, depression, personality changes, psychosis Otolaryngologic symptoms: loss or change in the sense of taste, inflammation of the tongue Cardiopulmonary indications: palpitations, difficulty breathing Gastrointestinal problems: indigestion, diarrhea, reduced appetite Patients with advanced pernicious anemia may also have noticeable physical characteristics such as pale or yellowing skin, dry skin, tender tongue, and rapid heart rate

Certain B vitamins, including B12 and folate, benefit gut health by supporting the growth of beneficial bacteria

Caregivers often notice subtle health changes long before a diagnosis happens

BMC Med 11 , 97 (2013)