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Those at highest risk include: People following a vegan diet or vegetarian lifestyle (up to 92% deficiency rate) Individuals with Crohn’s disease, celiac disease, or other gastrointestinal diseases Patients who’ve undergone weight loss surgery or gastric bypass procedures Those taking Metformin for type 2 diabetes or proton pump inhibitors Adults over 50 with reduced gastric emptying and absorption capacity Individuals with sickle cell anemia or age-related macular degeneration Critical Warning Signs Requiring Medical Attention: Persistent fatigue affecting daily activities Brain fog and cognitive dysfunction Numbness or tingling in upper arm and extremities Mood changes, depression, and irritability Pale or jaundiced skin indicating anemia Heart palpitations suggesting cardiovascular diseases risk Balance problems and neurological symptoms Why a Vitamin B12 Deficiency May Affect Your Weight B12 deficiency disrupts multiple metabolic processes critical for weight management