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Your body can only absorb so much B12 through your gut at one time, regardless of how much you swallow

People following a vegan or plant-based diet are more likely to present with a B12 deficiency, but those over 60 are also at a higher risk of not consuming enough B12

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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances ( Subclinical B12 deficiency, however, is far more prevalent, affecting up to 26% of the general population

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