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Lasting tiredness can have many causes beyond B12, such as iron levels, thyroid issues, or sleep problems, and a check-in helps make sure you are treating the right thing

Unexpectedly high B12 levels without supplementation warrant GP review as they may indicate underlying liver disease, kidney disease, or blood disorders

Those free fatty acids then enter the bloodstream and become available for oxidation, which means your body burns them for energy

Though some bacteria in the small intestines produce B12, it isnt enough to maintain adequate status in humans.2,4 According to Jack Norris, RD, a vegan expert and coauthor of Vegan for Life: Everything You Need to Know to Be Healthy and Fit on a Plant-Based Diet , there are no reliable sources of B12 in plants, contrary to many rumors about sources such as tempeh, seaweeds, and organic produce