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Foods rich in vitamin B12 include mushrooms, nutritional yeast and animal products such as meat, dairy, butter and eggs

Non-specific symptoms and signs are loss of appetite, diarrhoea, fatigue and weakness, shortness of breath, low blood pressure, confusion, and change in mental states.9 29 Classical manifestations include Hunters glossitis, megaloblastic anaemia, and subacute combined degeneration of spinal cord (Table 29)

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Consuming 2.6 micrograms (mcg) of vitamin B12 daily is sufficient for adult males to meet their needs