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There have been many documented cases of individual vegans developing overt B12 deficiency symptoms after a period of not supplementing (see Individual Cases of B12 Deficiency in Vegans)

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If youre washing your hands with soap and water, wet your hands, apply soap, rub them together well for at least 20 seconds, then rinse

Check the label to see exactly what forms of B12 are in the product, the dosage, and any additional ingredients such as artificial sweeteners, flavors, fillers or animal-derived ingredients

See a doctor if you experience: Persistent fatigue Tingling or numbness Memory issues Balance problems Shortness of breath Unexplained weakness Also seek medical advice before taking high-dose B12 long-term, especially if you have existing health conditions