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Common signs and symptoms include the following: Cognitive issues, especially those that deal with memory Extreme fatigue Depression Frequent headaches Problems with maintaining balance Changes in vision Megaloblastic anemia Heart palpitations Pale skin Weight loss Infertility Numbness and tingling in the hands and feet A sore tongue Low appetite Constipation Vitamin B12 Deficiency Risk Factors You have a higher risk of developing vitamin B12 deficiency if you have specific health problems

doi: 10.1007/BF02910407 95

Too soon to say much, however my appetite is decreasing

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Vitamin B12 Deficiencies and Medications About 10% of the population appears to have normal serum B12, however, their bioavailable B12 is reduced

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