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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Sanjay et al., 2022

In the meantime, Tucson and Phoenix struggled to maintain their economic standing, relying increasingly on tourism to soften the economic blow of the Depression

And women who are pregnant or breastfeeding need more

In Pakistan, awareness about B12 deficiency is rising fast, and so is the demand for reliable, affordable supplements

So its recommended for vegans to supplement daily with vitamin B12 to ensure they are meeting their dietary needs