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You follow a strict vegan or vegetarian diet: B12 is found almost entirely in animal products

Peripherally, pancytopenia is most often observed, but only 1-2 of the major cell types (erythrocytes, leukocytes, platelets) may be depressed in some cases

International Journal of Molecular Sciences

Symptoms of Vitamin B12 Deficiency While vitamin B12 deficiency is not particularly common in healthy individuals, it is important to recognize the symptoms of B12 deficiency so that you can determine whether supplementation is needed