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Description
If you dont have enough B12, you can end up developing a certain kind of anemia known as megaloblastic anemia

Side effects can be nausea, facial flushing, mole darkening, and possibly long-term skin changes

The Effects of NLY01, a Novel Glucagon-Like Peptide-1 Receptor Agonist, on Cuprizone-Induced Demyelination and Remyelination: Challenges and Future Perspectives

In other words, B12 deficiency in vegetarians would be due to dietary absence (or insufficient intake in the case of low consumption) and lack of supplementation

