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Some symptoms of vitamin B12 deficiency include: Weakness and tiredness Pale or yellowish skin Loss of appetite Heart palpitations Mouth or tongue soreness Tingling or "pins and needles" sensation in your hands and feet Shortness of breath Dizziness Blurry vision Mood swings or personality changes You are more at-risk for developing vitamin B12 deficiency if you are: Pregnant Over 65 Vegan Take medicine for diabetes Take medicine for heartburn Have had surgery to remove part of your bowels Health News Agencies In New York And Beyond Pass The Buck On Opioid Cash Oversight How Does ADHD Affect Athletes' Concussion Risk

Journal Medicine 116 (5), 358

Fatigue is rarely just a B12 issue