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Here are some signs to look out for: Fatigue and Lethargy : If youre constantly feeling tired, even after a full night's sleep, low B12 levels could be the reason

Fortified foods provide some B12: Fortified plant-based milk alternatives (soya, almond, oat) typically provide 0.41 microgram per serving Fortified breakfast cereals may contain 25100% of the reference intake per serving Fortified nutritional yeast provides variable amounts depending on the brand Fortified meat alternatives and plant-based products increasingly include added B12 The NHS advises that vegans should take a B12 supplement during pregnancy, as fortified foods may not reliably meet increased needs

Brown urine Medicines that turn urine brown include: antipsychotic drugs, such as chlorpromazine and thioridazine antibiotics, such as metronidazole and nitrofurantoin phenytoin, or Dilantin, an epilepsy drug sennoside laxatives, such as Senna-Lax and Senokot Deep purple urine A condition called porphyria causes urine to appear deep purple

Luke Afuwape, a board-certified Emergency Medicine physician