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But if untreated, it may lead to symptoms such as: Weakness, tiredness, or lightheadedness Heart palpitations and shortness of breath Pale skin A smooth tongue Constipation, diarrhea, loss of appetite, or gas Nerve problems such as numbness or tingling, muscle weakness, and problems walking Vision loss Mental health problems such as depression, memory loss, or behavioral changes Deficiency of Vitamin B12 affects more women than men, and can be due to: Lack of intrinsic factor, a substance produced in the stomach that is necessary for the absorption of Vitamin B12 from food

[DOI] [Google Scholar] Qiu H., Duan X., Su Y., Zeng S., Zheng D., Liao W

According to the anemia feeling weak or fatigued trouble keeping your balance weight loss appetite loss numbness or tingling in the hands, legs, or feet swollen or inflamed tongue (glossitis) heart palpitations pale or jaundiced skin There can also be psychiatric symptoms as well, although the cause of these may not be apparent at first