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Severe or prolonged B12 deficiency can lead to a range of neurological manifestations, including peripheral neuropathy, which may present as pain, paraesthesia (pins and needles), or altered sensation in the extremities

Finally, there is B12 in some plant foods but most of it is not human usable or is not reliable or tested

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To prevent or treat a deficiency, it is important to include Vitamin B12-rich foods in your diet or take supplements as recommended by a healthcare provider