What Happens When You Don't Take Vitamin B12 Properly?

Kashish Pandey | Aug 30, 2026, 16:00 IST
Most of us do not think much about vitamin B12. We hear about vitamin C, vitamin D and iron quite often, but B12 usually gets less attention. Yet, it is important for our blood, nerves and brain. The tricky part is that a B12 deficiency can take a long time to show clear signs. You may simply feel tired or weak at first and think it is because of a busy routine. But if your B12 level stays low for too long, the problem can become more serious.
B12 Deficiency
B12 Deficiency
Image credit : Freepik
Feeling tired once in a while is normal. Maybe you did not sleep well, had a long day at work or college, or simply need some rest. But when tiredness stays for weeks and you cannot understand why, it may be worth looking into. Low B12 can cause tiredness, weakness and other changes in the body. As the deficiency gets worse, some people may develop tingling in their hands or feet, trouble concentrating, memory problems or balance issues. The symptoms are not the same for everyone, which is one reason B12 deficiency can be missed.

Why Is B12 Important?


Red blood cells
Red blood cells
Image credit : Freepik


Your body needs B12 for some basic but very important functions. It helps make red blood cells and keeps your nerves healthy. It also plays a role in normal brain function.


When you do not get enough B12, your body starts struggling with these jobs. This can affect how you feel and, over time, can affect your nerves too.


Why Do B12 Levels Become Low?

Not getting enough B12 in your diet is one possible reason. This can be a concern for people who follow a strict vegan diet because natural B12 is mainly found in animal foods. However, eating these foods does not always guarantee that your B12 level will be normal.

Your body also needs to absorb B12 properly. Problems with the stomach or intestines can make this difficult. Pernicious anemia is another condition that can affect B12 absorption. Some medicines, including metformin and certain medicines used to reduce stomach acid, can also lower B12 levels when used for a long time.

You May Feel Tired All the Time


Man tired
Man tired
Image credit : Freepik

One of the first things you may notice is that you simply do not have your usual energy.

You might wake up feeling tired, struggle to stay active or feel exhausted even after doing normal daily tasks. Some people also experience weakness, headaches, pale skin or shortness of breath. The problem is that these signs are very common and can be caused by many things. It is easy to blame them on stress, poor sleep or a busy schedule.

Your Hands and Feet May Feel Different

This is one symptom that should not be ignored, especially if it keeps happening.

Low B12 can affect your nerves and may cause a tingling or numb feeling in your hands and feet. It can feel a little like pins and needles.

If the deficiency continues for a long time, some people can develop problems with balance, walking or coordination. This is why getting treatment early is important.

It Can Affect Your Brain Too


Man getting angry
Man getting angry
Image credit : Freepik

B12 is also connected to normal brain function. When levels are low, some people may notice that they are finding it harder to concentrate or remember things.

You may feel mentally tired or have trouble focusing on simple tasks. Mood changes can also happen.

Of course, having trouble remembering something does not automatically mean you have a B12 deficiency. Stress, lack of sleep and many other conditions can cause similar problems. That is why testing and medical advice are important.

There Can Be Other Signs Too

B12 deficiency does not always show up in the same way. Some people may develop a sore or swollen tongue or mouth ulcers. Changes in the skin can also occur.

In rare and severe cases, B12 deficiency can affect the optic nerve and cause vision problems. Serious neurological problems can also occur when a severe deficiency is left untreated for a long time.

What If You Keep Ignoring It?


Doctor Consultation
Doctor Consultation
Image credit : Freepik

This is where B12 deficiency can become a real concern.

Some symptoms can improve after treatment, but nerve damage caused by a long-term deficiency may not always completely disappear. The longer the deficiency continues, the greater the risk of lasting problems.

The good thing is that B12 deficiency can usually be treated once the cause is found. Depending on the situation, a doctor may suggest B12 tablets, dietary changes or injections.

Who Should Pay More Attention?

Some people have a higher chance of developing low B12. This includes people following a strict vegan diet, older adults and people who have certain stomach or intestinal problems.

People taking medicines such as metformin or some long-term acid-reducing medicines may also need to discuss their B12 levels with a doctor.

B12 deficiency can be easy to miss because it does not always start with a major warning. It may begin with something as simple as feeling tired all the time. But if tiredness continues or you notice symptoms such as numbness, tingling, balance problems or changes in memory, do not simply ignore them. A doctor can check whether B12 is actually the problem and suggest the right treatment. The earlier a deficiency is found, the better, especially when nerve symptoms have started.



This article is for informational purposes only and is not a substitute for professional medical advice. Do not ignore or delay professional medical advice because of information in this article.


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