Symptoms
Symptoms tend to develop slowly and may not be recognized immediately. As the condition worsens, common symptoms include:
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Weakness and fatigue
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Light-headedness and dizziness
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Palpitations and rapid heartbeat
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Shortness of breath
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A sore tongue that has a red, beefy appearance
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Nausea or poor appetite
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Weight loss
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Diarrhea
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Yellowish tinge to the skin and eyes
If low levels of B12 remain for a long time, the condition also can lead to irreversible damage to nerve cells, which can cause the following symptoms:
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Numbness and tingling in the hands and feet
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Difficulty walking
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Muscle weakness
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Irritability
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Memory loss
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Dementia
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Depression
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Psychosis

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