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Those with diseases that affect the gut, such as Crohn’s disease or celiac disease, are also at risk ( Summary Those at greatest risk of vitamin B12 deficiency are vegans and vegetarians, who get little to no B12 from the diet

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Clinically, this means that correcting a deficiency often relieves unexplained fatigue and “brain fog.” (NHS sources report that deficiency leads to “extreme tiredness” and low energy.) Energy misconception: It’s important to stress that B₁₂ injections are not a stimulant