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This is due to the reduced oxygen-carrying capacity of the blood, which can result in decreased energy production in the body Anemia can cause the body to compensate by increasing heart rate and respiratory rate to deliver more oxygen to the tissues

- Vegetarian or Vegan Diets, since Vitamin B-12 is found almost exclusively in animal foods

Morado, M., & Paz, R

Source data are provided with this paper

However, like most of the adverse events discussed in this paper, it is very uncommon, and establishing a cause-effect relationship is difficult and needs more investigation