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Vitamin B 12 deficiency can be determined, but not always. [14] This means it measures forms of vitamin B 12 that are "active" and can be used by the body, as well as the "inactive" forms, which cannot. [151] Vitamin B 12 deficiency can be found within normal levels, so clinical symptoms should be taken into account when a diagnosis is made. [2]
Supplementation with folate can mask vitamin B 12 deficiency. [39] [40] Consuming a vegan diet increases the risk, since Vitamin B 12 is mostly found in food and drinks made from animal products, including eggs and dairy products. Vitamin C deficiency: Deficiency leads to weakness, weight loss and general aches and pains.
Vitamin B 12 supplements are available as single or multivitamin tablets. Pharmaceutical preparations of vitamin B 12 may be given by intramuscular injection. [6] [62] Since there are few non-animal sources of the vitamin, vegans are advised to consume a dietary supplement or fortified foods for B 12 intake, or risk serious health consequences. [6]